Nidya De La Torre, DDS is a medicare enrolled "Dentist" provider in Parksley, Virginia. Her current practice location is
24501 Parksley Road, Parksley, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 414-0400.
Nidya De La Torre is licensed to practice in Virginia (license number 0401413959) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255727715.
Healthcare Provider's Profile
Full Name | Nidya De La Torre |
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Gender | Female |
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Speciality | Dentist |
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Location | 24501 Parksley Road, Parksley, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255727715
- Provider Enumeration Date: 04/11/2015
- Last Update Date: 07/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 9234428236
- Enrollment ID: I20160513002111
Medical Identifiers
Medical identifiers for Nidya De La Torre such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255727715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 0401413959 (Virginia) | Primary |
122300000X | Dentist | 015781 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nidya De La Torre is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nidya De La Torre, DDS 20280 Market St, Eshr- Atlantic Community Health Center, Onancock, VA 23417-1331 Ph: (757) 414-0400 | Nidya De La Torre, DDS 24501 Parksley Road, Parksley, VA 23421 Ph: (757) 414-0400 |
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