Dr Mark Vincent Gudilano Donato, DMD in North Highlands, CA - Medicare Dentist Provider

Dr Mark Vincent Gudilano Donato, DMD is a medicare enrolled "Dentist - General Practice" provider in North Highlands, California. His current practice location is 4815 Watt Ave, North Highlands, California. You can reach out to his office (for appointments etc.) via phone at (916) 454-2345.

Dr Mark Vincent Gudilano Donato is licensed to practice in California (license number 108453) 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 1629653944.

Contact Information

	Dr Mark Vincent Gudilano Donato, DMD
	4815 Watt Ave, North Highlands, CA 95660-5108
	(916) 454-2345
	Not Available

Healthcare Provider's Profile

Full Name	Dr Mark Vincent Gudilano Donato
Gender	Male
Speciality	Dentist - General Practice
Location	4815 Watt Ave, North Highlands, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629653944
Provider Enumeration Date: 03/17/2021
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 6103273677
Enrollment ID: I20231106003294

Medical Identifiers

Medical identifiers for Dr Mark Vincent Gudilano Donato such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629653944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	108453 (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 Mark Vincent Gudilano Donato 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 Mark Vincent Gudilano Donato, DMD 5332 E Baseline Rd Apt 3051, Mesa, AZ 85206-4739 Ph: (925) 437-5437	Dr Mark Vincent Gudilano Donato, DMD 4815 Watt Ave, North Highlands, CA 95660-5108 Ph: (916) 454-2345

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Dentist in North Highlands, CA

Dr. Tammy Pham, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4986 Watt Ave Ste D, North Highlands, CA 95660 Phone: 916-642-1867 Fax: 844-491-6066
Sukhwinder Singh Dhall, Dentist Medicare: Medicare Enrolled Practice Location: 4815 Watt Ave, North Highlands, CA 95660 Phone: 916-454-2345
Mr. Quoc Christopher Nguyen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4815 Watt Ave, North Highlands, CA 95660 Phone: 916-454-2345
Dr. Ujjval Harishbhai Pandya, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7471 Watt Ave Ste 107a, North Highlands, CA 95660 Phone: 916-331-1211
Rina Ambaram, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6015 Watt Ave, North Highlands, CA 95660 Phone: 916-679-3925 Fax: 916-679-3925
Vera Bolyshkanov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6137 Watt Ave, Suite 8, North Highlands, CA 95660 Phone: 916-331-7000 Fax: 916-331-7007
Sandra Ogechi Nnodim, Dentist Medicare: Medicare Enrolled Practice Location: 4815 Watt Ave, North Highlands, CA 95660 Phone: 916-454-2345

Dr Mark Vincent Gudilano Donato, DMD - Medicare Dentist in North Highlands, CA