Wendy J Carvajal, DDS in San Andreas, CA - Medicare Dentist Provider

Wendy J Carvajal, DDS is a medicare enrolled "Dentist" provider in San Andreas, California. Her current practice location is 1113 Highway 49, San Andreas, California. You can reach out to her office (for appointments etc.) via phone at (209) 755-1460.

Wendy J Carvajal is licensed to practice in California (license number 60168) 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 1740587229.

Contact Information

	Wendy J Carvajal, DDS
	1113 Highway 49, San Andreas, CA 95249
	(209) 755-1460
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wendy J Carvajal
Gender	Female
Speciality	Dentist
Location	1113 Highway 49, San Andreas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740587229
Provider Enumeration Date: 02/18/2011
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6800287475
Enrollment ID: I20211216000432

Medical Identifiers

Medical identifiers for Wendy J Carvajal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740587229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	60168 (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. Wendy J Carvajal allows following entities to bill medicare on her behalf.

Entity Name	M A C T Health Board Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366519431 PECOS PAC ID: 8325936974 Enrollment ID: O20040305001143

Entity Name	Chapa-de Indian Health Program, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114057163 PECOS PAC ID: 4981688520 Enrollment ID: O20040614000473

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. Wendy J Carvajal 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
Wendy J Carvajal, DDS Po Box 939, Angels Camp, CA 95222-0939 Ph: (209) 754-6262	Wendy J Carvajal, DDS 1113 Highway 49, San Andreas, CA 95249 Ph: (209) 755-1460

Reviews and Comments

Dentist in San Andreas, CA

Dr. Susan Margaret Abeldt, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1113 Highway 49, Ste A, San Andreas, CA 95249 Phone: 209-755-1460 Fax: 209-754-6278
David Bruce Ritchie, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 272 W Saint Charles St, San Andreas, CA 95249 Phone: 209-754-3816 Fax: 209-754-3818
Mr. Bruce Stephen Dunwell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 372 Luddy Lane, San Andreas, CA 95249 Phone: 209-754-3864 Fax: 209-754-5579
Dr. Joana Codruta Mihaila-motiu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 E Saint Charles St, San Andreas, CA 95249 Phone: 209-754-9565 Fax: 209-754-9922
Tracy My Ngo, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1113 Highway 49, San Andreas, CA 95249 Phone: 209-755-1460 Fax: 209-754-6278
Dennis Baluyut, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1113 Hwy 49, San Andreas, CA 95249 Phone: 209-755-1400

Wendy J Carvajal, DDS - Medicare Dentist in San Andreas, CA