Dr Kerry Liza Chan, DDS in Woodland Hills, CA - Medicare Dentist Provider

Dr Kerry Liza Chan, DDS is a medicare enrolled "Dentist - General Practice" provider in Woodland Hills, California. Her current practice location is 22554 Ventura Blvd, #127, Woodland Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 225-7883.

Dr Kerry Liza Chan is licensed to practice in California (license number DG33259) 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 1043237589.

Contact Information

	Dr Kerry Liza Chan, DDS
	22554 Ventura Blvd, #127, Woodland Hills, CA 91364-1413
	(818) 225-7883
	(818) 225-7852

Healthcare Provider's Profile

Full Name	Dr Kerry Liza Chan
Gender	Female
Speciality	Dentist - General Practice
Location	22554 Ventura Blvd, Woodland Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043237589
Provider Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1456659077
Enrollment ID: I20160415000692

Medical Identifiers

Medical identifiers for Dr Kerry Liza Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043237589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DG33259 (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 Kerry Liza Chan 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 Kerry Liza Chan, DDS 22554 Ventura Blvd, #127, Woodland Hills, CA 91364-1413 Ph: (818) 225-7883	Dr Kerry Liza Chan, DDS 22554 Ventura Blvd, #127, Woodland Hills, CA 91364-1413 Ph: (818) 225-7883

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Dentist in Woodland Hills, CA

Dr. Parissa T Bayat, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22351 Ventura Blvd, #265, Woodland Hills, CA 91364 Phone: 818-912-0952
Dr. Maryam Oghani Sarabi, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 22639 Mulholland Dr, Woodland Hills, CA 91364 Phone: 818-591-5964
Dr. John Millen Moffat, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 23111 Ventura Blvd, Suite 102, Woodland Hills, CA 91364 Phone: 818-225-0041
Michael Lee Goldstein, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6325 Topanga Canyon Blvd Ste 303, Woodland Hills, CA 91367 Phone: 818-348-1410 Fax: 818-348-3839
Martin H Mardirosian, D.D.S, M.S. Dentist Medicare: Medicare Enrolled Practice Location: 20047 Chapter Dr, Woodland Hills, CA 91364 Phone: 818-396-6278
Aidailis Capestany, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 6100 De Soto Ave Apt 813, Woodland Hills, CA 91367 Phone: 714-588-6483

Dr Kerry Liza Chan, DDS - Medicare Dentist in Woodland Hills, CA