Keith L Sheppard, DDS - Medicare Dentist in Penn Valley, CA

Keith L Sheppard, DDS is a medicare enrolled "Dentist - General Practice" provider in Penn Valley, California. His current practice location is 11300 Pleasant Valley Rd, Penn Valley, California. You can reach out to his office (for appointments etc.) via phone at (530) 432-1543.

Keith L Sheppard is licensed to practice in California (license number 63827) 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 1497164008.

Contact Information

Keith L Sheppard, DDS
11300 Pleasant Valley Rd,
Penn Valley, CA 95946-9026
(530) 432-1543
(530) 432-1543



Healthcare Provider's Profile

Full NameKeith L Sheppard
GenderMale
SpecialityDentist - General Practice
Location11300 Pleasant Valley Rd, Penn Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497164008
  • Provider Enumeration Date: 08/07/2014
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2264740679
  • Enrollment ID: I20151005003282

Medical Identifiers

Medical identifiers for Keith L Sheppard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497164008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 63827 (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. Keith L Sheppard 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
Keith L Sheppard, DDS
11300 Pleasant Valley Rd,
Penn Valley, CA 95946-9026

Ph: (530) 432-1543
Keith L Sheppard, DDS
11300 Pleasant Valley Rd,
Penn Valley, CA 95946-9026

Ph: (530) 432-1543

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Dentist in Penn Valley, CA

Dr. Donald Wayne Magnuson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 17420 Penn Valley Dr, Penn Valley, CA 95946
Phone: 530-432-1187    Fax: 530-432-2574
Monte John Smith, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 11342 Pleasant Valley Rd, Penn Valley, CA 95946
Phone: 530-432-3280    Fax: 916-933-4216
Dr. Robert Edward Millington, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 10524 Spenceville Road, Penn Valley, CA 95946
Phone: 530-432-7622    Fax: 530-432-8190

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