Charisma Flores Lasam, DMD in Covina, CA - Medicare Dentist Provider

Charisma Flores Lasam, DMD is a medicare enrolled "Dentist - General Practice" provider in Covina, California. Her current practice location is 4708 N Grand Ave, Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 332-8608.

Charisma Flores Lasam is licensed to practice in California (license number 54169) 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 1083808919.

Contact Information

	Charisma Flores Lasam, DMD
	4708 N Grand Ave, Covina, CA 91724-2005
	(626) 332-8608
	(626) 332-8216

Healthcare Provider's Profile

Full Name	Charisma Flores Lasam
Gender	Female
Speciality	Dentist - General Practice
Location	4708 N Grand Ave, Covina, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083808919
Provider Enumeration Date: 09/04/2007
Last Update Date: 07/26/2014

Medicare PECOS Information:

PECOS PAC ID: 0941590269
Enrollment ID: I20160527000993

Medical Identifiers

Medical identifiers for Charisma Flores Lasam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083808919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	54169 (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. Charisma Flores Lasam 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
Charisma Flores Lasam, DMD 4708 N Grand Ave, Covina, CA 91724-2005 Ph: (626) 332-8608	Charisma Flores Lasam, DMD 4708 N Grand Ave, Covina, CA 91724-2005 Ph: (626) 332-8608

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Dentist in Covina, CA

Dr. Dulguun Rosie Erdenebileg, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 626 S 2nd Ave, Covina, CA 91723 Phone: 626-709-3332
Dr. Sanford B. King, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 219 E Badillo St, Covina, CA 91723 Phone: 626-966-9971 Fax: 626-966-9534
Miss Veronica Gonzalez, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 560 W Badillo St, Covina, CA 91722 Phone: 626-331-0506
Dr. Brian Russell Wong, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 233 W Badillo St Ste C, Covina, CA 91723 Phone: 626-332-5911
Richard Martin Cohrs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 554 West Badillo Street, Covina, CA 91722 Phone: 626-339-4003 Fax: 626-339-7751
Dr. Elva Dolores Maldonado, DDS Dentist Medicare: Medicare Enrolled Practice Location: 151 W College St, Covina, CA 91723 Phone: 626-332-2550 Fax: 626-339-1933
Dr. Ralph Jerry Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 236 W Badillo St, Covina, CA 91723 Phone: 626-339-7300 Fax: 626-339-4540

Charisma Flores Lasam, DMD - Medicare Dentist in Covina, CA