Dr Fernando Verdugo, DMD, PHD in Altadena, CA - Medicare Dentist Provider

Dr Fernando Verdugo, DMD, PHD is a medicare enrolled "Dentist - Periodontics" provider in Altadena, California. His current practice location is 2028 Lake Ave, Altadena, California. You can reach out to his office (for appointments etc.) via phone at (626) 797-7551.

Dr Fernando Verdugo is licensed to practice in California (license number 53370) 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 1235345646.

Contact Information

	Dr Fernando Verdugo, DMD, PHD
	2028 Lake Ave, Altadena, CA 91001-2450
	(626) 797-7551
	(626) 797-0523

Healthcare Provider's Profile

Full Name	Dr Fernando Verdugo
Gender	Male
Speciality	Dentist - Periodontics
Location	2028 Lake Ave, Altadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235345646
Provider Enumeration Date: 05/15/2007
Last Update Date: 12/14/2015

Medicare PECOS Information:

PECOS PAC ID: 0840415220
Enrollment ID: I20140626001485

Medical Identifiers

Medical identifiers for Dr Fernando Verdugo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235345646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	53370 (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 Fernando Verdugo 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 Fernando Verdugo, DMD, PHD 6344 Primrose Ave, Los Angeles, CA 90068-2886 Ph: (310) 709-0193	Dr Fernando Verdugo, DMD, PHD 2028 Lake Ave, Altadena, CA 91001-2450 Ph: (626) 797-7551

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Dentist in Altadena, CA

Edward Moussa, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2095 Lincoln Ave # 201, Altadena, CA 91001 Phone: 626-639-8618
Natalie Derboghossians, Dentist Medicare: Medicare Enrolled Practice Location: 2340 Lake Ave, Altadena, CA 91001 Phone: 626-765-9900 Fax: 626-765-9901
Dr. Craig Daniel Cheng, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2028 Lake Ave, Altadena, CA 91001 Phone: 626-797-7551
Dr. Vickie Sue Greenberg, D.D.S., M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lake Ave, Altadena, CA 91001 Phone: 626-798-7645 Fax: 626-798-7089
Dr. Nicole Ajalat Abraham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2028 Lake Ave, Altadena, CA 91001 Phone: 626-797-7551
Nina Fridman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 747 E Altadena Dr, Altadena, CA 91001 Phone: 626-794-8133 Fax: 626-794-9163

Dr Fernando Verdugo, DMD, PHD - Medicare Dentist in Altadena, CA