Dr Jill Elizabeth Poulos, DDS in Cambria, CA - Medicare Dentist Provider

Dr Jill Elizabeth Poulos, DDS is a medicare enrolled "Dentist - General Practice" provider in Cambria, California. Her current practice location is 4235 Bridge St, Cambria, California. You can reach out to her office (for appointments etc.) via phone at (805) 927-5797.

Dr Jill Elizabeth Poulos is licensed to practice in California (license number 32667) 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 1043429608.

Contact Information

	Dr Jill Elizabeth Poulos, DDS
	4235 Bridge St, Cambria, CA 93428-2101
	(805) 927-5797
	Not Available

Healthcare Provider's Profile

Full Name	Dr Jill Elizabeth Poulos
Gender	Female
Speciality	Dentist - General Practice
Location	4235 Bridge St, Cambria, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043429608
Provider Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608171905
Enrollment ID: I20160224002362

Medical Identifiers

Medical identifiers for Dr Jill Elizabeth Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043429608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	32667 (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 Jill Elizabeth Poulos 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 Jill Elizabeth Poulos, DDS 4235 Bridge St, Cambria, CA 93428-2101 Ph: (805) 927-5797	Dr Jill Elizabeth Poulos, DDS 4235 Bridge St, Cambria, CA 93428-2101 Ph: (805) 927-5797

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Dentist in Cambria, CA

Dean Morgan Hilger, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2420 Main St, Su1, Cambria, CA 93428 Phone: 805-927-4609 Fax: 805-927-1799
Dr. Frank S. Fratto Jr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2150 Main St, Cambria, CA 93428 Phone: 805-927-4811 Fax: 805-927-0818
Dr. Phillip Opperman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2150 Main St, Suite 4, Cambria, CA 93428 Phone: 805-927-4811 Fax: 805-927-0818
James William Willis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2150 Main St, Suite 4, Cambria, CA 93428 Phone: 805-927-4811

Dr Jill Elizabeth Poulos, DDS - Medicare Dentist in Cambria, CA