Dr Dyan Marie Vandevelde, DMD in Palos Verdes Estates, CA - Medicare Dentist Provider

Dr Dyan Marie Vandevelde, DMD is a medicare enrolled "Dentist - General Practice" provider in Palos Verdes Estates, California. Her current practice location is 2325 Palos Verdes Dr W Ste 210, Palos Verdes Estates, California. You can reach out to her office (for appointments etc.) via phone at (310) 377-6580.

Dr Dyan Marie Vandevelde is licensed to practice in California (license number 29512) 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 1871887497.

Contact Information

	Dr Dyan Marie Vandevelde, DMD
	2325 Palos Verdes Dr W Ste 210, Palos Verdes Estates, CA 90274-2787
	(310) 377-6580
	(310) 377-3838

Healthcare Provider's Profile

Full Name	Dr Dyan Marie Vandevelde
Gender	Female
Speciality	Dentist - General Practice
Location	2325 Palos Verdes Dr W Ste 210, Palos Verdes Estates, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871887497
Provider Enumeration Date: 05/31/2011
Last Update Date: 05/12/2016

Medicare PECOS Information:

PECOS PAC ID: 4981993565
Enrollment ID: I20160520001721

Medical Identifiers

Medical identifiers for Dr Dyan Marie Vandevelde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871887497	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	29512 (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 Dyan Marie Vandevelde 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 Dyan Marie Vandevelde, DMD 2325 Palos Verdes Dr W Ste 210, Palos Verdes Estates, CA 90274-2787 Ph: (310) 377-6580	Dr Dyan Marie Vandevelde, DMD 2325 Palos Verdes Dr W Ste 210, Palos Verdes Estates, CA 90274-2787 Ph: (310) 377-6580

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Dentist in Palos Verdes Estates, CA

Dr. Michael R Simon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36 Malaga Cove Plz, Suite #310, Palos Verdes Estates, CA 90274 Phone: 310-375-8888 Fax: 310-375-7883
Dr. Michael H Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 702 Via Del Monte, Palos Verdes Estates, CA 90274 Phone: 224-595-9132
Dr. Richard David Benner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36 Malaga Cove Plz, Palos Verdes Estates, CA 90274 Phone: 310-375-8888 Fax: 310-375-7883
Dr. Michael Schultz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2109 Via Visalia, Palos Verdes Estates, CA 90274 Phone: 310-378-0182
Mansoureh Soltani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 841 Via Somonte, Palos Verdes Estates, CA 90274 Phone: 310-916-5683
Seongsu Kang, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 Palos Verdes Dr W, Palos Verdes Estates, CA 90274 Phone: 310-749-1291
Dr. Andrew Ghadimi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2736 Via Miguel, Palos Verdes Estates, CA 90274 Phone: 310-591-9244

Dr Dyan Marie Vandevelde, DMD - Medicare Dentist in Palos Verdes Estates, CA