Pedro Miguel Sandoval, DDS in Rialto, CA - Medicare Dentist Provider

Pedro Miguel Sandoval, DDS is a medicare enrolled "Dentist" provider in Rialto, California. His current practice location is 432 N Riverside Ave, Rialto, California. You can reach out to his office (for appointments etc.) via phone at (909) 874-2121.

Pedro Miguel Sandoval is licensed to practice in California (license number 49402) 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 1194941245.

Contact Information

	Pedro Miguel Sandoval, DDS
	432 N Riverside Ave, Rialto, CA 92376-5012
	(909) 874-2121
	(909) 874-2122

Map and Direction

Healthcare Provider's Profile

Full Name	Pedro Miguel Sandoval
Gender	Male
Speciality	Dentist
Location	432 N Riverside Ave, Rialto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194941245
Provider Enumeration Date: 04/17/2007
Last Update Date: 04/03/2018

Medicare PECOS Information:

PECOS PAC ID: 8820331812
Enrollment ID: I20190514002451

Medical Identifiers

Medical identifiers for Pedro Miguel Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194941245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	49402 (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. Pedro Miguel Sandoval allows following entities to bill medicare on his behalf.

Entity Name	Pedro M Sandoval Dds Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043590060 PECOS PAC ID: 7911240908 Enrollment ID: O20190514002392

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. Pedro Miguel Sandoval 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
Pedro Miguel Sandoval, DDS 432 N Riverside Ave, Rialto, CA 92376-5012 Ph: (909) 874-2121	Pedro Miguel Sandoval, DDS 432 N Riverside Ave, Rialto, CA 92376-5012 Ph: (909) 874-2121

Reviews and Comments

Dentist in Rialto, CA

Dr. Blanca Virginia Toledo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 326 N Riverside Ave, Rialto, CA 92376 Phone: 909-875-1464 Fax: 909-875-1464
Dr. Phat M Duong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1629 S Riverside Ave, Rialto, CA 92376 Phone: 909-421-2225 Fax: 909-421-2099
Dr. Evan Stuart Halpern, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1727 N Riverside Ave, Rialto, CA 92376 Phone: 909-820-9413
Dr. Jorge Alfredo Flores, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 249 W Foothill Blvd, Rialto, CA 92376 Phone: 909-820-2420
Dr. Erica Wu, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 1205 Renaissance Pkwy Ste 240, Rialto, CA 92376 Phone: 714-616-4800
Dr. Dipti C Loomba, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1629 S Riverside Ave, Rialto, CA 92376 Phone: 909-421-2225 Fax: 909-421-2099
Dr. Julie Tang, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1817 N Riverside Ave, Rialto, CA 92376 Phone: 909-879-1024 Fax: 909-879-1058

Pedro Miguel Sandoval, DDS - Medicare Dentist in Rialto, CA