Dr Michael Gerald Dab, DDS in San Rafael, CA - Medicare Dentist Provider

Dr Michael Gerald Dab, DDS is a medicare enrolled "Dentist - General Practice" provider in San Rafael, California. His current practice location is 750 Las Gallinas Ave, Ste 111, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 472-5211.

Dr Michael Gerald Dab is licensed to practice in California (license number 29251) 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 1063416311.

Contact Information

	Dr Michael Gerald Dab, DDS
	750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903-3431
	(415) 472-5211
	(415) 472-1046

Healthcare Provider's Profile

Full Name	Dr Michael Gerald Dab
Gender	Male
Speciality	Dentist - General Practice
Location	750 Las Gallinas Ave, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063416311
Provider Enumeration Date: 06/01/2005
Last Update Date: 01/01/2009

Medicare PECOS Information:

PECOS PAC ID: 9234458696
Enrollment ID: I20150519000631

Medical Identifiers

Medical identifiers for Dr Michael Gerald Dab such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063416311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	29251 (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 Michael Gerald Dab 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 Michael Gerald Dab, DDS 750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903-3431 Ph: (415) 472-5211	Dr Michael Gerald Dab, DDS 750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903-3431 Ph: (415) 472-5211

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Dentist in San Rafael, CA

Eunkyo Cho, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3110 Kerner Blvd, San Rafael, CA 94901 Phone: 415-448-1500
Dr. Ezra H Kantor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 750 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-492-1616 Fax: 415-492-0466
Stuart Holloway Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1534 5th Ave, San Rafael, CA 94901 Phone: 415-454-1345
Dr. Anthony D Collard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 880 Las Gallinas Ave, Suite #5, San Rafael, CA 94903 Phone: 415-479-8747 Fax: 415-479-9960
Gary A Grablin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 D Street, San Rafael, CA 94901 Phone: 415-454-3222 Fax: 415-454-8741
Dr. James A Mcdowell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1721 5th Ave, San Rafael, CA 94901 Phone: 415-453-4720 Fax: 415-453-4727

Dr Michael Gerald Dab, DDS - Medicare Dentist in San Rafael, CA