Dr Angela King Thiaville, DDS in Gretna, LA - Medicare Dentist Provider

Dr Angela King Thiaville, DDS is a medicare enrolled "Dentist - General Practice" provider in Gretna, Louisiana. Her current practice location is 537 Holmes Blvd, Gretna, Louisiana. You can reach out to her office (for appointments etc.) via phone at (504) 368-9545.

Dr Angela King Thiaville is licensed to practice in Louisiana (license number 5667) 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 1104045376.

Contact Information

	Dr Angela King Thiaville, DDS
	537 Holmes Blvd, Gretna, LA 70056-2838
	(504) 368-9545
	(504) 368-5753

Healthcare Provider's Profile

Full Name	Dr Angela King Thiaville
Gender	Female
Speciality	Dentist - General Practice
Location	537 Holmes Blvd, Gretna, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104045376
Provider Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799086112
Enrollment ID: I20151209000341

Medical Identifiers

Medical identifiers for Dr Angela King Thiaville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104045376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	5667 (Louisiana)	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 Angela King Thiaville 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 Angela King Thiaville, DDS 525 Olive Ave, Harvey, LA 70058-4453 Ph: (504) 367-7829	Dr Angela King Thiaville, DDS 537 Holmes Blvd, Gretna, LA 70056-2838 Ph: (504) 368-9545

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Dentist in Gretna, LA

Michelle Ngo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1729 Lafayette St, Gretna, LA 70053 Phone: 504-227-8577
Dr. Joseph G Shedlarski, D,D,S, Dentist Medicare: Medicare Enrolled Practice Location: 1808 Franklin Ave, Gretna, LA 70053 Phone: 504-361-1011
Dr. Kenneth Edward Alfortish, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 517 Whitney Ave, Gretna, LA 70056 Phone: 504-368-2792
Dr. Nicole Eileen Elger, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Lapalco Blvd, Suite B, Gretna, LA 70056 Phone: 504-392-4384
Dr. Lenore Maurer Garrity, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 309 Gretna Blvd, Gretna, LA 70053 Phone: 504-366-5611
Dr. Cuong Quoc Nguyen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1729 Lafayette St, 200, Gretna, LA 70053 Phone: 504-227-8577

Dr Angela King Thiaville, DDS - Medicare Dentist in Gretna, LA