Dr Dipak A Katbamna, DDS in Phelan, CA - Medicare Dentist Provider

Dr Dipak A Katbamna, DDS is a medicare enrolled "Dentist" provider in Phelan, California. His current practice location is 4365 Phelan Rd, Phelan, California. You can reach out to his office (for appointments etc.) via phone at (760) 868-2244.

Dr Dipak A Katbamna is licensed to practice in California (license number 57058) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598925000.

Contact Information

	Dr Dipak A Katbamna, DDS
	4365 Phelan Rd, Phelan, CA 92371-7675
	(760) 868-2244
	(760) 868-1542

Healthcare Provider's Profile

Full Name	Dr Dipak A Katbamna
Gender	Male
Speciality	Dentist
Location	4365 Phelan Rd, Phelan, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598925000
Provider Enumeration Date: 06/10/2008
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5890077309
Enrollment ID: I20170118001023

Medical Identifiers

Medical identifiers for Dr Dipak A Katbamna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598925000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	57058 (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 Dipak A Katbamna 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 Dipak A Katbamna, DDS 4365 Phelan Rd, Phelan, CA 92371-7675 Ph: (760) 868-2244	Dr Dipak A Katbamna, DDS 4365 Phelan Rd, Phelan, CA 92371-7675 Ph: (760) 868-2244

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Dentist in Phelan, CA

Dr. Jane Elizabeth Caballero, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4220 Phelan Rd, Phelan, CA 92371 Phone: 760-868-2783 Fax: 760-868-5783
Michelle Marconnette, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3936 Phelan Rd, Suite A4, Phelan, CA 92371 Phone: 760-868-4600 Fax: 760-868-8449
Dr. Ben Wilder Eby, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4220 Phelan Road, Phelan, CA 92371 Phone: 760-868-2786 Fax: 760-868-5783

Dr Dipak A Katbamna, DDS - Medicare Dentist in Phelan, CA