Timothy E Mickiewicz, DDS in Sacramento, CA

Timothy E Mickiewicz, DDS is a medicare enrolled "Dentist - General Practice" provider in Sacramento, California. His current practice location is 930 Alhambra Blvd, Ste 110, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 469-9178.

Timothy E Mickiewicz is licensed to practice in California (license number 30810) 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 1346393105.

Contact Information

	Timothy E Mickiewicz, DDS
	930 Alhambra Blvd, Ste 110, Sacramento, CA 95816-4479
	(916) 469-9178
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy E Mickiewicz
Gender	Male
Speciality	Dentist - General Practice
Location	930 Alhambra Blvd, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346393105
Provider Enumeration Date: 01/18/2007
Last Update Date: 03/07/2018

Medicare PECOS Information:

PECOS PAC ID: 0446428429
Enrollment ID: I20110718000550

Medical Identifiers

Medical identifiers for Timothy E Mickiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346393105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	30810 (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. Timothy E Mickiewicz allows following entities to bill medicare on his behalf.

Entity Name	Timothy E Mickiewicz Dental Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558668244 PECOS PAC ID: 7315164423 Enrollment ID: O20140814000005

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. Timothy E Mickiewicz 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
Timothy E Mickiewicz, DDS 930 Alhambra Blvd, Ste 110, Sacramento, CA 95816-4479 Ph: (916) 469-9178	Timothy E Mickiewicz, DDS 930 Alhambra Blvd, Ste 110, Sacramento, CA 95816-4479 Ph: (916) 469-9178

Reviews and Comments

Dentist in Sacramento, CA

David Brian Hull, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1870 Avondale Ave, Suite #2, Sacramento, CA 95825 Phone: 916-481-5990 Fax: 916-481-0661
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Dr. Lindsay M Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 925 Secret River Dr, Suite 2a, Sacramento, CA 95831 Phone: 916-905-0345 Fax: 888-678-2930
Agnes Sicat Yumiaco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Scripps Dr Ste 305, Sacramento, CA 95825 Phone: 916-929-0248 Fax: 916-929-0244
Dr. Brian Francis Bolstad, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 24th St Ste 102, Sacramento, CA 95816 Phone: 916-497-0487 Fax: 916-497-0451
Dr. Thomas Wey Fong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3701 J St, Suite 200, Sacramento, CA 95816 Phone: 916-457-7080 Fax: 916-457-7088

Timothy E Mickiewicz, DDS - Medicare Dentist in Sacramento, CA