Teodoro David Pena, in Chula Vista, CA - Medicare Dentist Provider

Teodoro David Pena, is a medicare enrolled "Dentist" provider in Chula Vista, California. His current practice location is 510 Broadway Ste 4-5, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (619) 476-9400.

Teodoro David Pena is licensed to practice in California (license number 64509) 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 1104332741.

Contact Information

	Teodoro David Pena,
	510 Broadway Ste 4-5, Chula Vista, CA 91910
	(619) 476-9400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Teodoro David Pena
Gender	Male
Speciality	Dentist
Location	510 Broadway Ste 4-5, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104332741
Provider Enumeration Date: 12/19/2017
Last Update Date: 06/04/2018

Medicare PECOS Information:

PECOS PAC ID: 1759636236
Enrollment ID: I20180625002499

Medical Identifiers

Medical identifiers for Teodoro David Pena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104332741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	64509 (California)	Primary

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. Teodoro David Pena 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
Teodoro David Pena, 510 Broadway Ste 4-5, Chula Vista, CA 91910-5306 Ph: (619) 476-9400	Teodoro David Pena, 510 Broadway Ste 4-5, Chula Vista, CA 91910 Ph: (619) 476-9400

Reviews and Comments

Dentist in Chula Vista, CA

Dr. Federico G Drachenberg, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 890 Eastlake Parkway, Ste 101, Chula Vista, CA 91914 Phone: 619-934-3258 Fax: 619-651-7578
Evelyn Lugue Salazar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1101 Broadway, Chula Vista, CA 91911 Phone: 619-422-8891 Fax: 619-422-4356
Dr. Graciela L Lopez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 301 3rd Ave, Chula Vista, CA 91910 Phone: 619-476-1444 Fax: 619-476-0656
Luis E Real, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 690 E St, Chula Vista, CA 91910 Phone: 619-425-2122 Fax: 619-425-2125
Karen Yong Liu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 885 Canarios Court, Suite 202, Chula Vista, CA 91910 Phone: 619-656-6800 Fax: 619-656-0200
Dr. Mercedes F Razo, D.D.S,M.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 885 Canarios Ct, #210, Chula Vista, CA 91910 Phone: 619-656-4199 Fax: 619-656-6945
Ruth Garcia Rosas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2452 Fenton St Ste 200, Chula Vista, CA 91914 Phone: 619-934-6620

Teodoro David Pena, - Medicare Dentist in Chula Vista, CA