Justin F Shyba, DDS in Soquel, CA - Medicare Dentist Provider

Justin F Shyba, DDS is a medicare enrolled "Dentist" provider in Soquel, California. His current practice location is 2515 Porter St, Soquel, California. You can reach out to his office (for appointments etc.) via phone at (831) 462-8555.

Justin F Shyba is licensed to practice in California (license number 62533) 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 1992130454.

Contact Information

	Justin F Shyba, DDS
	2515 Porter St, Soquel, CA 95073-2463
	(831) 462-8555
	Not Available

Healthcare Provider's Profile

Full Name	Justin F Shyba
Gender	Male
Speciality	Dentist
Location	2515 Porter St, Soquel, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992130454
Provider Enumeration Date: 09/03/2013
Last Update Date: 09/03/2013

Medicare PECOS Information:

PECOS PAC ID: 1456642503
Enrollment ID: I20160620002204

Medical Identifiers

Medical identifiers for Justin F Shyba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992130454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	62533 (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. Justin F Shyba 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
Justin F Shyba, DDS 2515 Porter St, Soquel, CA 95073-2463 Ph: (831) 462-8555	Justin F Shyba, DDS 2515 Porter St, Soquel, CA 95073-2463 Ph: (831) 462-8555

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Dentist in Soquel, CA

Dr. Steve Brian Mann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2515 Porter St, Soquel, CA 95073 Phone: 831-462-8555 Fax: 831-476-3114
Dr. Reed Ken Kuratomi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3121 Park Ave Ste G, Soquel, CA 95073 Phone: 831-475-0656 Fax: 831-464-3272
Dr. James P Alderete Ii, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2820 Daubenbiss Ave, Soquel, CA 95073 Phone: 831-688-3930 Fax: 831-662-0889
Dr. Karen L Coslett, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2901 Park Ave, Ste. C-1, Soquel, CA 95073 Phone: 831-476-6900 Fax: 831-476-6917
Dr. Matthew Burton Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3018 Baronian Ct, Soquel, CA 95073 Phone: 831-600-8218
Mrs. Vasavi Reddy Chinnam, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2840 Park Ave Ste B, Soquel, CA 95073 Phone: 831-688-0555 Fax: 831-475-5740
Dr. Lane Ashton Harbertson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5819 Soquel Dr, Suite C, Soquel, CA 95073 Phone: 831-475-2834 Fax: 831-475-2734

Justin F Shyba, DDS - Medicare Dentist in Soquel, CA