Dr Patrice Luzelle Ermita Mara, DMD in Apo, AP - Dentist

Dr Patrice Luzelle Ermita Mara, DMD is a Dentist based in Apo, Armed Forces Pacific. Dr Patrice Luzelle Ermita Mara is licensed to practice in Colorado (license number DEN.00204040) and her current practice location is 618th Dental Co, Carius Dental Clinic Bldg P3020 Attn: Credentials Offic, Apo, Armed Forces Pacific. She can be reached at her office (for appointments etc.) via phone at (315) 757-9186.

NPI number for Dr Patrice Luzelle Ermita Mara is 1932753647 and her current mailing address is 618th Dental Co, Carius Dental Clinic Bldg P3020 Attn: Credentials Offic, Apo, Armed Forces Pacific. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932753647.

Contact Information

	Dr Patrice Luzelle Ermita Mara, DMD
	618th Dental Co, Carius Dental Clinic Bldg P3020 Attn: Credentials Offic, Apo, AP 96271-5245
	(315) 757-9186
	Not Available

Healthcare Provider's Profile

Full Name	Dr Patrice Luzelle Ermita Mara
Gender	Female
Speciality	Dentist
Location	618th Dental Co, Apo, Armed Forces Pacific
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1932753647
Provider Enumeration Date: 07/31/2019
Last Update Date: 08/26/2020

Medical Identifiers

Medical identifiers for Dr Patrice Luzelle Ermita Mara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932753647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN.00204040 (Colorado)	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 Patrice Luzelle Ermita Mara is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Patrice Luzelle Ermita Mara, DMD 618th Dental Co, Carius Dental Clinic Bldg P3020 Attn: Credentials Offic, Apo, AP 96271-5245 Ph: () -	Dr Patrice Luzelle Ermita Mara, DMD 618th Dental Co, Carius Dental Clinic Bldg P3020 Attn: Credentials Offic, Apo, AP 96271-5245 Ph: (315) 757-9186

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Dr. Minju David Yi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 562-286-4875
Ryan Michael Germain, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 374th Mdg, Unit 5071, Apo, AP 96328 Phone: 315-225-8864
Kristina Reck, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Unit 5071, Apo, AP 96328 Phone: 315-225-3671
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Dr Patrice Luzelle Ermita Mara, DMD - Dentist in Apo, AP