Dr Yelena Vladimirovna Gutnichenko, DMD - Medicare Dentist in Waltham, MA

Dr Yelena Vladimirovna Gutnichenko, DMD is a medicare enrolled "Dentist - General Practice" provider in Waltham, Massachusetts. Her current practice location is 695 Main St, Waltham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 899-7070.

Dr Yelena Vladimirovna Gutnichenko is licensed to practice in Massachusetts (license number 20567) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174553481.

Contact Information

Dr Yelena Vladimirovna Gutnichenko, DMD
695 Main St,
Waltham, MA 02451-0609
(781) 899-7070
(781) 899-1802



Healthcare Provider's Profile

Full NameDr Yelena Vladimirovna Gutnichenko
GenderFemale
SpecialityDentist - General Practice
Location695 Main St, Waltham, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174553481
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 01/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921302415
  • Enrollment ID: I20160203001394

Medical Identifiers

Medical identifiers for Dr Yelena Vladimirovna Gutnichenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174553481NPI-NPPES
0202576MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 20567 (Massachusetts)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 Yelena Vladimirovna Gutnichenko 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 Yelena Vladimirovna Gutnichenko, DMD
695 Main St,
Waltham, MA 02451-0609

Ph: (781) 899-7070
Dr Yelena Vladimirovna Gutnichenko, DMD
695 Main St,
Waltham, MA 02451-0609

Ph: (781) 899-7070

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› Verified 4 days ago


Dentist in Waltham, MA

Dr. Tacuhi Sona Tacvorian, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 24 Crescent St, # 302, Waltham, MA 02453
Phone: 781-899-8174    
Dr. Vincent P.a. Failla, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 976 Main St, Waltham, MA 02451
Phone: 781-894-3143    Fax: 781-736-0712
Dr. David Goldberg, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 879 Main St, Waltham, MA 02451
Phone: 781-899-3700    
Dr. Kenneth A Macafee Ii, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 982 Main St, Waltham, MA 02451
Phone: 781-899-5660    Fax: 781-893-7027
Taejoon Ahn, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 225 Moody St, Waltham, MA 02453
Phone: 781-647-8000    Fax: 781-647-8111
Ruchieka Vij, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 314 Moody St, Waltham, MA 02453
Phone: 857-284-2329    
Dr. Edward Morton, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 633 Trapelo Rd, Waltham, MA 02452
Phone: 781-891-8211    

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