Casey Vidovich, in Trabuco Canyon, CA - Medicare Dentist Provider

Casey Vidovich, is a medicare enrolled "Dentist - General Practice" provider in Trabuco Canyon, California. His current practice location is 30575 Trabuco Canyon Rd, Suite 106, Trabuco Canyon, California. You can reach out to his office (for appointments etc.) via phone at (949) 858-5147.

Casey Vidovich is licensed to practice in California (license number 63592) 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 1871901827.

Contact Information

	Casey Vidovich,
	30575 Trabuco Canyon Rd, Suite 106, Trabuco Canyon, CA 92679-3034
	(949) 858-5147
	Not Available

Healthcare Provider's Profile

Full Name	Casey Vidovich
Gender	Male
Speciality	Dentist - General Practice
Location	30575 Trabuco Canyon Rd, Trabuco Canyon, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871901827
Provider Enumeration Date: 07/22/2014
Last Update Date: 07/22/2014

Medicare PECOS Information:

PECOS PAC ID: 0749594679
Enrollment ID: I20150805007570

Medical Identifiers

Medical identifiers for Casey Vidovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871901827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	63592 (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. Casey Vidovich 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
Casey Vidovich, 30575 Trabuco Canyon Rd, Suite 106, Trabuco Canyon, CA 92679-3034 Ph: () -	Casey Vidovich, 30575 Trabuco Canyon Rd, Suite 106, Trabuco Canyon, CA 92679-3034 Ph: (949) 858-5147

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Dentist in Trabuco Canyon, CA

Dr. Howard M Nakamura, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21702 Plano Trabuco Rd, Suite A, Trabuco Canyon, CA 92679 Phone: 949-858-4626 Fax: 949-858-2542
Dr. David Shelby Levitt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8 Beaconsfield, Trabuco Canyon, CA 92679 Phone: 949-306-6568
Mrs. Ada Gruita, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15 Saint Pierre, Trabuco Canyon, CA 92679 Phone: 949-525-8238
Dr. Jeremy James Haines, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 19372 Highridge Way, Trabuco Canyon, CA 92679 Phone: 801-735-7461
Shebli Mehrazarin, DDS, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 22 Club Vis, Trabuco Canyon, CA 92679 Phone: 131-099-7089

Casey Vidovich, - Medicare Dentist in Trabuco Canyon, CA