Dr Chantal Botros, DMD in Irvine, CA - Medicare Dentist Provider

Dr Chantal Botros, DMD is a medicare enrolled "Dentist" provider in Irvine, California. Her current practice location is 17010 Red Hill Ave Ste D, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 975-0150.

Dr Chantal Botros is licensed to practice in California (license number 101120) 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 1053719252.

Contact Information

	Dr Chantal Botros, DMD
	17010 Red Hill Ave Ste D, Irvine, CA 92614-5626
	(949) 975-0150
	Not Available

Healthcare Provider's Profile

Full Name	Dr Chantal Botros
Gender	Female
Speciality	Dentist
Location	17010 Red Hill Ave Ste D, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053719252
Provider Enumeration Date: 12/21/2014
Last Update Date: 04/10/2018

Medicare PECOS Information:

PECOS PAC ID: 2769780147
Enrollment ID: I20160419000617

Medical Identifiers

Medical identifiers for Dr Chantal Botros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053719252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	101120 (California)	Primary
122300000X	Dentist	2569 (Hawaii)	Secondary

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 Chantal Botros 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 Chantal Botros, DMD 592 Mystic Way, Laguna Beach, CA 92651-1923 Ph: (312) 804-2557	Dr Chantal Botros, DMD 17010 Red Hill Ave Ste D, Irvine, CA 92614-5626 Ph: (949) 975-0150

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Dr Chantal Botros, DMD - Medicare Dentist in Irvine, CA