Vixiane Sengsouvanh, DDS is a medicare enrolled "Dentist" provider in Rancho Murieta, California. His current practice location is
7277 Lone Pine Dr., Ste. C 105, Rancho Murieta, California. You can reach out to his office (for appointments etc.) via phone at
(916) 354-2637.
Vixiane Sengsouvanh is licensed to practice in California (license number 48994) 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 1568664498.
Healthcare Provider's Profile
Full Name | Vixiane Sengsouvanh |
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Gender | Male |
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Speciality | Dentist |
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Location | 7277 Lone Pine Dr., Rancho Murieta, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568664498
- Provider Enumeration Date: 06/04/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3577715705
- Enrollment ID: I20121214000125
Medical Identifiers
Medical identifiers for Vixiane Sengsouvanh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568664498 | NPI | - | NPPES |
48994 | Other | CA | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 48994 (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. Vixiane Sengsouvanh 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 |
Vixiane Sengsouvanh, DDS Po Box 1451, Rancho Murieta, CA 95683-1451 Ph: (916) 354-2637 | Vixiane Sengsouvanh, DDS 7277 Lone Pine Dr., Ste. C 105, Rancho Murieta, CA 95683 Ph: (916) 354-2637 |
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