Giancarlo G Tassara, DDS - Medicare Dentist in Orange, CA

Giancarlo G Tassara, DDS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Orange, California. His current practice location is 1111 W Town And Country Rd Ste 46, Orange, California. You can reach out to his office (for appointments etc.) via phone at (657) 235-8033.

Giancarlo G Tassara is licensed to practice in California (license number 56932) 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 1760540942.

Contact Information

Giancarlo G Tassara, DDS
1111 W Town And Country Rd Ste 46,
Orange, CA 92868-4667
(657) 235-8033
(657) 247-0444



Healthcare Provider's Profile

Full NameGiancarlo G Tassara
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location1111 W Town And Country Rd Ste 46, Orange, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760540942
  • Provider Enumeration Date: 12/04/2006
  • Last Update Date: 02/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325355589
  • Enrollment ID: I20150921001445

Medical Identifiers

Medical identifiers for Giancarlo G Tassara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760540942NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 56932 (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. Giancarlo G Tassara 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
Giancarlo G Tassara, DDS
1111 W Town And Country Rd Ste 46,
Orange, CA 92868-4667

Ph: (657) 235-8033
Giancarlo G Tassara, DDS
1111 W Town And Country Rd Ste 46,
Orange, CA 92868-4667

Ph: (657) 235-8033

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