Dr Diane E Allen, DDS in Shasta Lake, CA - Medicare Dentist Provider

Dr Diane E Allen, DDS is a medicare enrolled "Dentist - General Practice" provider in Shasta Lake, California. Her current practice location is 4340 Shasta Dam Blvd, Shasta Lake, California. You can reach out to her office (for appointments etc.) via phone at (530) 275-3077.

Dr Diane E Allen is licensed to practice in California (license number 26802) 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 1457337248.

Contact Information

	Dr Diane E Allen, DDS
	4340 Shasta Dam Blvd, Shasta Lake, CA 96019-9420
	(530) 275-3077
	Not Available

Healthcare Provider's Profile

Full Name	Dr Diane E Allen
Gender	Female
Speciality	Dentist - General Practice
Location	4340 Shasta Dam Blvd, Shasta Lake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457337248
Provider Enumeration Date: 12/22/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5597060954
Enrollment ID: I20160223000484

Medical Identifiers

Medical identifiers for Dr Diane E Allen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457337248	NPI	-	NPPES
26802	Other	CA	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	26802 (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 Diane E Allen 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 Diane E Allen, DDS 4340 Shasta Dam Blvd, Shasta Lake, CA 96019-9420 Ph: (530) 275-3077	Dr Diane E Allen, DDS 4340 Shasta Dam Blvd, Shasta Lake, CA 96019-9420 Ph: (530) 275-3077

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Dentist in Shasta Lake, CA

Zhibin Ji, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4340 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-2910 Fax: 530-275-9335

Dr Diane E Allen, DDS - Medicare Dentist in Shasta Lake, CA