Dr Phuc Cong Tran, DMD - Medicare Dentist in Ukiah, CA

Dr Phuc Cong Tran, DMD is a medicare enrolled "Dentist" provider in Ukiah, California. His current practice location is 333 Laws Ave, Ukiah, California. You can reach out to his office (for appointments etc.) via phone at (510) 381-2240.

Dr Phuc Cong Tran is licensed to practice in California (license number 103962) 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 1457855942.

Contact Information

Dr Phuc Cong Tran, DMD
333 Laws Ave,
Ukiah, CA 95482
(510) 381-2240
Not Available



Healthcare Provider's Profile

Full NameDr Phuc Cong Tran
GenderMale
SpecialityDentist
Location333 Laws Ave, Ukiah, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457855942
  • Provider Enumeration Date: 03/20/2018
  • Last Update Date: 12/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5294063798
  • Enrollment ID: I20190821004164

Medical Identifiers

Medical identifiers for Dr Phuc Cong Tran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457855942NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 103962 (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 Phuc Cong Tran allows following entities to bill medicare on his behalf.
Entity NameMendocino Community Health Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497961106
PECOS PAC ID: 6305755455
Enrollment ID: O20040826001483

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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 Phuc Cong Tran 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 Phuc Cong Tran, DMD
333 Laws Ave,
Ukiah, CA 95482-6540

Ph: (510) 381-2240
Dr Phuc Cong Tran, DMD
333 Laws Ave,
Ukiah, CA 95482

Ph: (510) 381-2240

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Dentist in Ukiah, CA

Andrew Irvine Corbett, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 135 Hospital Dr, Ukiah, CA 95482
Phone: 707-462-6086    
Dr. Robert Blake Tandy, D.D.S., M.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1236 Vista Verde Rd, Ukiah, CA 95482
Phone: 707-972-1123    Fax: 707-468-0899
Kenneth Barry,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1252 Airport Park Blvd, Suite D1, Ukiah, CA 95482
Phone: 707-462-8719    
Dr. Anthoula S Vlachos, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 471 Lovers Ln, Ukiah, CA 95482
Phone: 707-972-2602    
Dr. Nicholas Nadiem Khoury, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 415 W Standley St, Ukiah, CA 95482
Phone: 707-462-2170    Fax: 707-462-1953
Dr. Gary R Keszler, D.D.S., M.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 135 Hospital Dr, Ukiah, CA 95482
Phone: 707-462-6086    
Dr. William Green, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 772 S Dora St, Ukiah, CA 95482
Phone: 707-462-2913    Fax: 707-462-0350

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