Dr Micah Crowley, DMD - Medicare Dentist in Corona Del Mar, CA

Dr Micah Crowley, DMD is a medicare enrolled "Dentist - Periodontics" provider in Corona Del Mar, California. His current practice location is 505 1/2 Carnation Ave, Corona Del Mar, California. You can reach out to his office (for appointments etc.) via phone at (406) 459-6140.

Dr Micah Crowley is licensed to practice in California (license number DDS107031) 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 1386059772.

Contact Information

Dr Micah Crowley, DMD
505 1/2 Carnation Ave,
Corona Del Mar, CA 92625-2046
(406) 459-6140
Not Available



Healthcare Provider's Profile

Full NameDr Micah Crowley
GenderMale
SpecialityDentist - Periodontics
Location505 1/2 Carnation Ave, Corona Del Mar, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386059772
  • Provider Enumeration Date: 06/24/2014
  • Last Update Date: 10/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355603622
  • Enrollment ID: I20180326002312

Medical Identifiers

Medical identifiers for Dr Micah Crowley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386059772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DS039876 (Pennsylvania)Secondary
1223P0300XDentist - Periodontics DDS107031 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Micah Crowley allows following entities to bill medicare on his behalf.
Entity NameDental Associates Ltd Of Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518266998
PECOS PAC ID: 0244402220
Enrollment ID: O20111018000066

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› Verified 7 days ago

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 Micah Crowley 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 Micah Crowley, DMD
505 1/2 Carnation Ave,
Corona Del Mar, CA 92625-2046

Ph: (406) 459-6140
Dr Micah Crowley, DMD
505 1/2 Carnation Ave,
Corona Del Mar, CA 92625-2046

Ph: (406) 459-6140

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Dentist in Corona Del Mar, CA

Dr. George W Brazeal, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 2345 E Coast Hwy, Suite B, Corona Del Mar, CA 92625
Phone: 949-673-6443    
Dr. Cole Younger, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2121 E Coast Hwy Ste 160, Corona Del Mar, CA 92625
Phone: 949-688-2050    
Svetlana Zhuravkova, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 401 Seaward Rd, #5, Corona Del Mar, CA 92625
Phone: 310-993-3742    
Dr. Jacqueline Younesi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2121 E Coast Hwy Ste 230, Corona Del Mar, CA 92625
Phone: 949-246-2028    
Azin Rashidi,
Dentist
Medicare: Medicare Enrolled
Practice Location: 4607 Fairfield Dr, Corona Del Mar, CA 92625
Phone: 310-993-0135    
Dr. Brett Christopher Brazeal, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2345 E Coast Hwy Ste B, Corona Del Mar, CA 92625
Phone: 949-673-6443    Fax: 949-673-6447

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