Loni A Vallejo, DDS in Yuma, AZ - Medicare Dentist Provider

Loni A Vallejo, DDS is a medicare enrolled "Dentist - General Practice" provider in Yuma, Arizona. His current practice location is 2179 W 24th St, Yuma, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 782-4707.

Loni A Vallejo is licensed to practice in Arizona (license number 7078) 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 1043362650.

Contact Information

	Loni A Vallejo, DDS
	2179 W 24th St, Yuma, AZ 85364-6240
	(928) 782-4707
	(928) 782-2212

Healthcare Provider's Profile

Full Name	Loni A Vallejo
Gender	Male
Speciality	Dentist - General Practice
Location	2179 W 24th St, Yuma, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043362650
Provider Enumeration Date: 01/17/2007
Last Update Date: 05/23/2016

Medicare PECOS Information:

PECOS PAC ID: 1850681818
Enrollment ID: I20160602001992

Medical Identifiers

Medical identifiers for Loni A Vallejo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043362650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	7078 (Arizona)	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. Loni A Vallejo 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
Loni A Vallejo, DDS 12075 E State Route 69, Ste A, Dewey, AZ 86327-4517 Ph: (928) 277-0142	Loni A Vallejo, DDS 2179 W 24th St, Yuma, AZ 85364-6240 Ph: (928) 782-4707

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Dentist in Yuma, AZ

Dr. John J Nay, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2179 W 24th St, Yuma, AZ 85364 Phone: 928-782-4707 Fax: 928-782-2212
Dr. Gail Downs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 675 S Avenue B Bldg B, Yuma, AZ 85364 Phone: 928-539-3140
Dr. Brian L. Cullen, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2359 S 22nd Dr, Suite 1, Yuma, AZ 85364 Phone: 928-329-9565 Fax: 928-783-0669
Richard Michael Freimuth, DDS Dentist Medicare: Medicare Enrolled Practice Location: 120 W 24th St, Yuma, AZ 85364 Phone: 928-783-2106 Fax: 928-783-1106
Dr. Scott Charles Haney, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1175 Hart St., Mcas Yuma Branch Dental Clinic, Yuma, AZ 85369 Phone: 928-269-2353
Dr. Dennis R Sykora, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11487 S Foothills Blvd, Yuma, AZ 85367 Phone: 928-342-2461

Loni A Vallejo, DDS - Medicare Dentist in Yuma, AZ