Dr Santiago Alberto Centurion, MD is a medicare enrolled "Dermatology" physician in Petaluma, California. He went to Rutgers New Jersey Medical School and graduated in 1999 and has 26 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Associates Of Central New Jersey Pa, North Bay Dermatology Associates and 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 | Dermatology |
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| Experience | 26 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 Rutgers New Jersey Medical School in 1999
NPI Data:
- NPI Number: 1710099585
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 02/24/2011
Medicare PECOS Information:
- PECOS PAC ID: 0547241960
- Enrollment ID: I20040601000113
Medical Identifiers
Medical identifiers for Dr Santiago Alberto Centurion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dermatology Associates Of Central New Jersey Pa | 4688697394 | 11 |
| North Bay Dermatology Associates | 5698678118 | 3 |
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. Dr Santiago Alberto Centurion allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Associates Of Central New Jersey Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104950013
PECOS PAC ID: 4688697394
Enrollment ID: O20060109000814 |
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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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