Dr Mary Colleen Tandon, DDS - Medicare Dentist in Brawley, CA

Dr Mary Colleen Tandon, DDS is a medicare enrolled "Dentist" provider in Brawley, California. Her current practice location is 1166 K St, Brawley, California. You can reach out to her office (for appointments etc.) via phone at (760) 344-9951.

Dr Mary Colleen Tandon is licensed to practice in California (license number 59754) 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 1841502523.

Contact Information

Dr Mary Colleen Tandon, DDS
1166 K St,
Brawley, CA 92227-2737
(760) 344-9951
(760) 344-6128



Healthcare Provider's Profile

Full NameDr Mary Colleen Tandon
GenderFemale
SpecialityDentist
Location1166 K St, Brawley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841502523
  • Provider Enumeration Date: 07/09/2010
  • Last Update Date: 01/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9931483096
  • Enrollment ID: I20170309000644

Medical Identifiers

Medical identifiers for Dr Mary Colleen Tandon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841502523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 08724 (Iowa)Secondary
1223G0001XDentist - General Practice D008538 (Arizona)Secondary
122300000XDentist 59754 (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 Mary Colleen Tandon 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 Mary Colleen Tandon, DDS
1166 K St,
Brawley, CA 92227-2737

Ph: (760) 344-9951
Dr Mary Colleen Tandon, DDS
1166 K St,
Brawley, CA 92227-2737

Ph: (760) 344-9951

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Dentist in Brawley, CA

Isamel Paul Yturralde, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1166 K St, Brawley, CA 92227
Phone: 760-344-3583    
Dr. Ronald C. Stillman, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 580 G St, Brawley, CA 92227
Phone: 760-344-1613    Fax: 760-351-2137
Brian Shue, MD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1166 K St, Brawley, CA 92227
Phone: 760-344-9951    
Dr. Amadis J. Lugo, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 229 Main St Ste 101, Brawley, CA 92227
Phone: 760-344-5846    Fax: 760-344-7906
Thomas L Roderick, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1166 K St, Brawley, CA 92227
Phone: 760-344-3583    Fax: 760-344-8480
Dr. Jaime Salas Dominguez, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1166 K St, Brawley, CA 92227
Phone: 760-344-3583    Fax: 760-344-8480
Mr. Leon R Parrilla, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 114 J St, Brawley, CA 92227
Phone: 760-344-2341    Fax: 760-344-5177

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