Thanh T Mollica, DDS, PA-C is a medicare enrolled "Dentist" in Canton, Ohio. Her current practice location is
1320 Mercy Dr Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 489-1000.
Thanh T Mollica is licensed to practice in Ohio (license number 30.024762) 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 1912988163.
Provider's Profile
Full Name | Thanh T Mollica |
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Gender | Female |
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Speciality | Dentist |
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Location | 1320 Mercy Dr Nw, Canton, Ohio |
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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: 1912988163
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860410958
- Enrollment ID: I20051108000004
Medical Identifiers
Medical identifiers for Thanh T Mollica such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912988163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 50-002308 (Ohio) | Secondary |
122300000X | Dentist | RES3745 (Ohio) | Secondary |
122300000X | Dentist | 30.024762 (Ohio) | 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. Thanh T Mollica 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 |
Thanh T Mollica, DDS, PA-C 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000 | Thanh T Mollica, DDS, PA-C 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000 |
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