Dr Peter W Doerken, DDS in Santa Monica, CA - Medicare Dentist Provider

Dr Peter W Doerken, DDS is a medicare enrolled "Dentist" provider in Santa Monica, California. His current practice location is 1448 15th Street, Suite 100, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 458-9800.

Dr Peter W Doerken is licensed to practice in California (license number 21874) 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 1356687057.

Contact Information

	Dr Peter W Doerken, DDS
	1448 15th Street, Suite 100, Santa Monica, CA 90404
	(310) 458-9800
	(310) 458-9891

Healthcare Provider's Profile

Full Name	Dr Peter W Doerken
Gender	Male
Speciality	Dentist
Location	1448 15th Street, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356687057
Provider Enumeration Date: 12/27/2012
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1456656099
Enrollment ID: I20160219001235

Medical Identifiers

Medical identifiers for Dr Peter W Doerken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356687057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	21874 (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 Peter W Doerken 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 Peter W Doerken, DDS 1448 15th Street, Suite 100, Santa Monica, CA 90404 Ph: (310) 458-9800	Dr Peter W Doerken, DDS 1448 15th Street, Suite 100, Santa Monica, CA 90404 Ph: (310) 458-9800

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Dentist in Santa Monica, CA

Dr. Jelson Jonathan Yalung, DDS Dentist Medicare: Medicare Enrolled Practice Location: 912 17th St, Santa Monica, CA 90403 Phone: 310-439-8321
Dr. Mani Morshed, D.M.D, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1244 7th St, Suite 202, Santa Monica, CA 90401 Phone: 310-393-9664 Fax: 310-458-3399
Dr. Shahin Issac Bina, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 819 Princeton St, Santa Monica, CA 90403 Phone: 310-963-6322
Shantel Noghrey Ramin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2903 Delaware Ave, Santa Monica, CA 90404 Phone: 818-468-8155
Linda Beth Chen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1304 15th St, Suite 311, Santa Monica, CA 90404 Phone: 310-656-8880
Bella Doshi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2021 Santa Monica Blvd, Suite 500e, Santa Monica, CA 90404 Phone: 310-828-3522 Fax: 310-828-3422
Dr. Ana Brightleaf, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1304 15th St, Suite 209, Santa Monica, CA 90404 Phone: 310-395-1810 Fax: 310-395-1035

Dr Peter W Doerken, DDS - Medicare Dentist in Santa Monica, CA