Pablo Madrigal Walle, DDS in Ceres, CA - Medicare Dentist Provider

Pablo Madrigal Walle, DDS is a medicare enrolled "Dentist" provider in Ceres, California. His current practice location is 3100 E Service Rd, Ceres, California. You can reach out to his office (for appointments etc.) via phone at (209) 542-9921.

Pablo Madrigal Walle is licensed to practice in California (license number 106838) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457029167.

Contact Information

	Pablo Madrigal Walle, DDS
	3100 E Service Rd, Ceres, CA 95307-6422
	(209) 542-9921
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pablo Madrigal Walle
Gender	Male
Speciality	Dentist
Location	3100 E Service Rd, Ceres, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457029167
Provider Enumeration Date: 08/30/2021
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 3678961240
Enrollment ID: I20211101001829

Medical Identifiers

Medical identifiers for Pablo Madrigal Walle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457029167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	106838 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Pablo Madrigal Walle allows following entities to bill medicare on his behalf.

Entity Name	Momani Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215329487 PECOS PAC ID: 8325395932 Enrollment ID: O20180726003162

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. Pablo Madrigal Walle 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
Pablo Madrigal Walle, DDS 1547 Concerto Ln # Lm, Hughson, CA 95326-9136 Ph: (209) 484-3078	Pablo Madrigal Walle, DDS 3100 E Service Rd, Ceres, CA 95307-6422 Ph: (209) 542-9921

Reviews and Comments

Dentist in Ceres, CA

Dr. Mital Mukesh Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2561 3rd St Ste B, Ceres, CA 95307 Phone: 209-538-9297
Dr. Tracy S Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2760 3rd Street, Suite A, Ceres, CA 95307 Phone: 209-537-4427 Fax: 209-537-4437
Ms. Katherine Anne Kucera, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3507 Morgan Rd, Ceres, CA 95307 Phone: 209-537-4673
Pawanjeet Singh Pannu, Dentist Medicare: Medicare Enrolled Practice Location: 1918 Glen Harbor Dr, Ceres, CA 95307 Phone: 718-594-2282
Richard Z Chen, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-541-3001 Fax: 209-538-1096
Dr. Alan Salvador Hernandez Lara, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Service Rd Ste 101, Ceres, CA 95307 Phone: 209-542-9921

Pablo Madrigal Walle, DDS - Medicare Dentist in Ceres, CA