Dr Cherylin H Wyatt, DDS - Medicare Dentist in Santa Rosa, CA

Dr Cherylin H Wyatt, DDS is a medicare enrolled "Dentist - General Practice" provider in Santa Rosa, California. Her current practice location is 3775 Montgomery Dr, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 546-3791.

Dr Cherylin H Wyatt is licensed to practice in California (license number 58495) 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 1811128374.

Contact Information

Dr Cherylin H Wyatt, DDS
3775 Montgomery Dr,
Santa Rosa, CA 95405-5214
(707) 546-3791
(707) 546-9732



Healthcare Provider's Profile

Full NameDr Cherylin H Wyatt
GenderFemale
SpecialityDentist - General Practice
Location3775 Montgomery Dr, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811128374
  • Provider Enumeration Date: 07/31/2009
  • Last Update Date: 01/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6406177625
  • Enrollment ID: I20150530000161

Medical Identifiers

Medical identifiers for Dr Cherylin H Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811128374NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 58495 (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. Dr Cherylin H Wyatt 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
Dr Cherylin H Wyatt, DDS
3775 Montgomery Dr,
Santa Rosa, CA 95405-5214

Ph: (707) 546-3791
Dr Cherylin H Wyatt, DDS
3775 Montgomery Dr,
Santa Rosa, CA 95405-5214

Ph: (707) 546-3791

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Dentist in Santa Rosa, CA

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Medicare: Not Enrolled in Medicare
Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403
Phone: 707-545-4104    Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD
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Medicare: Not Enrolled in Medicare
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Phone: 707-566-7300    Fax: 707-566-7400
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Medicare: Not Enrolled in Medicare
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Phone: 707-546-5234    Fax: 707-546-3928
Dr. Hiko Ruo, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404
Phone: 707-528-3412    Fax: 707-528-1058

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