Dr Glenn Chester Prezkop, DMD in Santa Maria, CA - Medicare Dentist Provider

Dr Glenn Chester Prezkop, DMD is a medicare enrolled "Dentist" provider in Santa Maria, California. His current practice location is 1414 S Miller St Ste B, Santa Maria, California. You can reach out to his office (for appointments etc.) via phone at (805) 352-0225.

Dr Glenn Chester Prezkop is licensed to practice in California (license number 39924) 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 1063443018.

Contact Information

	Dr Glenn Chester Prezkop, DMD
	1414 S Miller St Ste B, Santa Maria, CA 93454-6962
	(805) 352-0225
	(805) 352-0227

Healthcare Provider's Profile

Full Name	Dr Glenn Chester Prezkop
Gender	Male
Speciality	Dentist
Location	1414 S Miller St Ste B, Santa Maria, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063443018
Provider Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9234434945
Enrollment ID: I20160217002170

Medical Identifiers

Medical identifiers for Dr Glenn Chester Prezkop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063443018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	39924 (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 Glenn Chester Prezkop 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 Glenn Chester Prezkop, DMD 1414 S Miller St Ste B, Santa Maria, CA 93454-6962 Ph: (805) 352-0225	Dr Glenn Chester Prezkop, DMD 1414 S Miller St Ste B, Santa Maria, CA 93454-6962 Ph: (805) 352-0225

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Dentist in Santa Maria, CA

Dr. Anil Chiku Verma, D.D.S F.A.G.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 5660 Impala Trl, Santa Maria, CA 93455 Phone: 604-617-1974
Abdallah Al-harazneh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1038 W Main St, Santa Maria, CA 93458 Phone: 805-925-9091 Fax: 805-925-9022
Minah Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1816 Danijay Way, Santa Maria, CA 93454 Phone: 805-345-2161
Ryan Taylor Blatchley, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 426 Barcellus Ave Ste 105, Santa Maria, CA 93454 Phone: 805-347-4785 Fax: 805-347-4787
Dr. Azadeh Rastikerdar, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1846 N Broadway # B, Santa Maria, CA 93454 Phone: 805-922-5122
Dr. Mathilde Houser, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2205 S Broadway, Santa Maria, CA 93454 Phone: 805-347-1000

Dr Glenn Chester Prezkop, DMD - Medicare Dentist in Santa Maria, CA