Vivian Diep, DMD in Ganado, AZ - Medicare Dentist Provider

Vivian Diep, DMD is a medicare enrolled "Dentist" provider in Ganado, Arizona. Her current practice location is 191 Az-264, Ganado, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 755-4500.

Vivian Diep is licensed to practice in Arizona (license number D012146) 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 1831939651.

Contact Information

	Vivian Diep, DMD
	191 Az-264, Ganado, AZ 86505
	(928) 755-4500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vivian Diep
Gender	Female
Speciality	Dentist
Location	191 Az-264, Ganado, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831939651
Provider Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024

Medicare PECOS Information:

PECOS PAC ID: 4284168709
Enrollment ID: I20241106002811

Medical Identifiers

Medical identifiers for Vivian Diep such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831939651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D012146 (Arizona)	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. Vivian Diep allows following entities to bill medicare on her behalf.

Entity Name	Navajo Health Foundation-sage Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477735777 PECOS PAC ID: 2163332347 Enrollment ID: O20040326001225

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. Vivian Diep 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
Vivian Diep, DMD 14011 Sea Myrtle Ln, Sugar Land, TX 77498-2095 Ph: (713) 540-7289	Vivian Diep, DMD 191 Az-264, Ganado, AZ 86505 Ph: (928) 755-4500

Reviews and Comments

Dentist in Ganado, AZ

Dr. Tyleigh Rain Davidson, DMD Dentist Medicare: Medicare Enrolled Practice Location: Po Box 457, Ganado, AZ 86505 Phone: 928-755-4850
Dr. Charles H. Vanderpool, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Hwy 264 And Junction 191 S, Ganado, AZ 86505 Phone: 928-755-4500 Fax: 928-755-4815
Chandara Im, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Arizona 264, Sage Memorial Hospital, Ganado, AZ 86505 Phone: 928-755-4500

Vivian Diep, DMD - Medicare Dentist in Ganado, AZ