Dr Lucelly Campos, DDS - Medicare Dentist in San Ysidro, CA

Dr Lucelly Campos, DDS is a medicare enrolled "Dentist" provider in San Ysidro, California. Her current practice location is 4004 Beyer Blvd, San Ysidro, California. You can reach out to her office (for appointments etc.) via phone at (619) 428-4463.

Dr Lucelly Campos is licensed to practice in California (license number 46758) 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 1811090384.

Contact Information

Dr Lucelly Campos, DDS
4004 Beyer Blvd,
San Ysidro, CA 92173-2007
(619) 428-4463
(619) 428-2625



Healthcare Provider's Profile

Full NameDr Lucelly Campos
GenderFemale
SpecialityDentist
Location4004 Beyer Blvd, San Ysidro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811090384
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9234448176
  • Enrollment ID: I20151015002558

Medical Identifiers

Medical identifiers for Dr Lucelly Campos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811090384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 46758 (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 Lucelly Campos 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 AddressPractice Location Address
Dr Lucelly Campos, DDS
4004 Beyer Blvd,
San Ysidro, CA 92173-2007

Ph: (619) 428-4463
Dr Lucelly Campos, DDS
4004 Beyer Blvd,
San Ysidro, CA 92173-2007

Ph: (619) 428-4463

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Dentist in San Ysidro, CA

Dr. Miguel Solorio Jr.,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 482 W San Ysidro Blvd, #134, San Ysidro, CA 92173
Phone: 619-381-5645    
Ana O Contreras-cerrillo, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 511 E San Ysidro Blvd, #231, San Ysidro, CA 92173
Phone: 619-606-0372    
Natalia Alvarez Maldonado,
Dentist
Medicare: Medicare Enrolled
Practice Location: 157 W Park Ave, San Ysidro, CA 92173
Phone: 619-513-4077    
Dr. Max Corona,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 482 W San Ysidro Blvd, Suite 1268, San Ysidro, CA 92173
Phone: 760-208-4986    
Dr. Guillermo Shiroma, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-428-4463    Fax: 619-428-2625
Dr. Mario M. Durazo, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 482 W San Ysidro Blvd, Suite 1944, San Ysidro, CA 92173
Phone: 619-781-9961    
Yadira L Gamez, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2004 Dairy Mart Rd, Ste 120, San Ysidro, CA 92173
Phone: 619-428-2436    Fax: 619-428-2447

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