Corona Dental Office, Pc - Medicare Dental Clinic in Corona, NY

Corona Dental Office, Pc is a medicare enrolled dental clinic (Dentist - General Practice) in Corona, New York. The current practice location for Corona Dental Office, Pc is 10807 Corona Ave, 2 Floor, Corona, New York. For appointments, you can reach them via phone at (718) 760-3417. The mailing address for Corona Dental Office, Pc is 10807 Corona Ave, 2 Floor, Corona, New York and phone number is (718) 760-3417.

Corona Dental Office, Pc is licensed to practice in New York (license number 0484861). The clinic also participates in the medicare program and its NPI number is 1063797009. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 760-3417.

Contact Information

Corona Dental Office, Pc
10807 Corona Ave
2 Floor
Corona
NY 11368-3941
(718) 760-3417
(718) 760-3417

Dental Care Clinic Profile

Full NameCorona Dental Office, Pc
SpecialityDentist
Location10807 Corona Ave, Corona, New York
Authorized Official Name and PositionWascar Alexi Ramirez (OWNER)
Authorized Official Contact7187603417
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Corona Dental Office, Pc
10807 Corona Ave
2 Floor
Corona
NY 11368-3941

Ph: (718) 760-3417
Corona Dental Office, Pc
10807 Corona Ave
2 Floor
Corona
NY 11368-3941

Ph: (718) 760-3417

NPI Details:

NPI Number1063797009
Provider Enumeration Date10/20/2011
Last Update Date10/20/2011

Medicare PECOS Information:

Medicare PECOS PAC ID3577872233
Medicare Enrollment IDO20151020000725

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Medical Identifiers

Medical identifiers for Corona Dental Office, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063797009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 0484861 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Corona Dental Office, Pc acts as a billing entity for following providers:
Provider NameWascar A Ramirez
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1861465726
PECOS PAC ID: 6608185871
Enrollment ID: I20151029001444

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