Dr Santiago Alberto Centurion, MD is a medicare enrolled "Dermatology" physician in Petaluma, California. His current practice location is
106 Lynch Creek Way, Suite 8, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at
(707) 763-6816.
Dr Santiago Alberto Centurion is licensed to practice in New Jersey (license number 25MA07649600) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710099585.
Physician's Profile
| Full Name | Dr Santiago Alberto Centurion |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 106 Lynch Creek Way, Petaluma, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Santiago Alberto Centurion attended and graduated from in
NPI Data:
- NPI Number: 1710099585
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 02/24/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Santiago Alberto Centurion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710099585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 25MA07649600 (New Jersey) | Primary |
| 207N00000X | Dermatology | A866380 (California) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | A866380 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A866380 (California) | Secondary |
| 207N00000X | Dermatology | 231911-1 (New York) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 231911-1 (New York) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 231911-1 (New York) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 25MA07649600 (New Jersey) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 25MA07649600 (New Jersey) | Secondary |
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. Dr Santiago Alberto Centurion 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 |
|---|
Dr Santiago Alberto Centurion, MD
106 Lynch Creek Way, Suite 8,
Petaluma, CA 94954-2356
Ph: (707) 763-6816 | Dr Santiago Alberto Centurion, MD
106 Lynch Creek Way, Suite 8,
Petaluma, CA 94954-2356
Ph: (707) 763-6816 |
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