Baldwin Wilfred Marchack, DDS - Medicare Dentist in Pasadena, CA

Baldwin Wilfred Marchack, DDS is a medicare enrolled "Dentist - General Practice" provider in Pasadena, California. His current practice location is 301 S Fair Oaks Ave, Suite 408, Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (626) 793-6700.

Baldwin Wilfred Marchack is licensed to practice in California (license number 21919) 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 1619136363.

Contact Information

Baldwin Wilfred Marchack, DDS
301 S Fair Oaks Ave, Suite 408,
Pasadena, CA 91105-2561
(626) 793-6700
(626) 793-8777



Healthcare Provider's Profile

Full NameBaldwin Wilfred Marchack
GenderMale
SpecialityDentist - General Practice
Location301 S Fair Oaks Ave, Pasadena, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619136363
  • Provider Enumeration Date: 06/07/2008
  • Last Update Date: 06/07/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3476922469
  • Enrollment ID: I20221214001128

Medical Identifiers

Medical identifiers for Baldwin Wilfred Marchack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619136363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 21919 (California)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. Baldwin Wilfred Marchack 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 AddressPractice Location Address
Baldwin Wilfred Marchack, DDS
301 S Fair Oaks Ave, Suite 408,
Pasadena, CA 91105-2561

Ph: (626) 793-6700
Baldwin Wilfred Marchack, DDS
301 S Fair Oaks Ave, Suite 408,
Pasadena, CA 91105-2561

Ph: (626) 793-6700

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Dentist in Pasadena, CA

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Phone: 626-792-1344    Fax: 626-792-7033
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Phone: 626-795-8628    Fax: 626-585-1742
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Medicare: Medicare Enrolled
Practice Location: 2301 E Washington Blvd, Pasadena, CA 91104
Phone: 626-797-4121    Fax: 626-797-0556

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