Dr Juddy King-yo Lin, DMD in Phillips Ranch, CA - Medicare Dentist Provider

Dr Juddy King-yo Lin, DMD is a medicare enrolled "Dentist" provider in Phillips Ranch, California. Her current practice location is 3080 W Temple Ave, Phillips Ranch, California. You can reach out to her office (for appointments etc.) via phone at (909) 620-6066.

Dr Juddy King-yo Lin is licensed to practice in California (license number 54598) 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 1164554382.

Contact Information

	Dr Juddy King-yo Lin, DMD
	3080 W Temple Ave, Phillips Ranch, CA 91766-6817
	(909) 620-6066
	Not Available

Healthcare Provider's Profile

Full Name	Dr Juddy King-yo Lin
Gender	Female
Speciality	Dentist
Location	3080 W Temple Ave, Phillips Ranch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164554382
Provider Enumeration Date: 03/12/2007
Last Update Date: 11/28/2007

Medicare PECOS Information:

PECOS PAC ID: 3971815119
Enrollment ID: I20170915003163

Medical Identifiers

Medical identifiers for Dr Juddy King-yo Lin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164554382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	54598 (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 Juddy King-yo Lin 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 Juddy King-yo Lin, DMD 3080 W Temple Ave, Phillips Ranch, CA 91766-6817 Ph: (909) 620-6066	Dr Juddy King-yo Lin, DMD 3080 W Temple Ave, Phillips Ranch, CA 91766-6817 Ph: (909) 620-6066

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Dr Juddy King-yo Lin, DMD - Medicare Dentist in Phillips Ranch, CA