Dr Manuel Luis Iravedra, DMD, BSPH is a medicare enrolled "Dentist - Periodontics" provider in Chinle, Arizona. His current practice location is
Po Box Ph, Chinle, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 674-7001.
Dr Manuel Luis Iravedra is licensed to practice in Puerto Rico (license number D1388) 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 1801941422.
Healthcare Provider's Profile
Full Name | Dr Manuel Luis Iravedra |
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Gender | Male |
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Speciality | Dentist - Periodontics |
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Location | Po Box Ph, Chinle, Arizona |
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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: 1801941422
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 12/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 0345675294
- Enrollment ID: I20200122003056
Medical Identifiers
Medical identifiers for Dr Manuel Luis Iravedra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801941422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 2750 (Puerto Rico) | Secondary |
1223P0300X | Dentist - Periodontics | D1388 (Puerto Rico) | 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. Dr Manuel Luis Iravedra 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 Manuel Luis Iravedra, DMD, BSPH 1814 Calle Glasgow, College Park, San Juan, PR 00921-4814 Ph: (787) 758-8510 | Dr Manuel Luis Iravedra, DMD, BSPH Po Box Ph, Chinle, AZ 86503-8000 Ph: (928) 674-7001 |
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