Luiz Thiago Pereira De Carvalho, DDS in Fresno, CA - Medicare Dentist Provider

Luiz Thiago Pereira De Carvalho, DDS is a medicare enrolled "Dentist" provider in Fresno, California. His current practice location is 645 S Minnewawa Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (800) 492-4227.

Luiz Thiago Pereira De Carvalho is licensed to practice in California (license number 107746) 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 1265153605.

Contact Information

	Luiz Thiago Pereira De Carvalho, DDS
	645 S Minnewawa Ave, Fresno, CA 93727-4141
	(800) 492-4227
	Not Available

Healthcare Provider's Profile

Full Name	Luiz Thiago Pereira De Carvalho
Gender	Male
Speciality	Dentist
Location	645 S Minnewawa Ave, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265153605
Provider Enumeration Date: 09/05/2022
Last Update Date: 09/18/2022

Medicare PECOS Information:

PECOS PAC ID: 9234507112
Enrollment ID: I20221128000595

Medical Identifiers

Medical identifiers for Luiz Thiago Pereira De Carvalho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265153605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	107746 (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. Luiz Thiago Pereira De Carvalho 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
Luiz Thiago Pereira De Carvalho, DDS 3875 W Beechwood Ave, Fresno, CA 93711-0795 Ph: (800) 492-4227	Luiz Thiago Pereira De Carvalho, DDS 645 S Minnewawa Ave, Fresno, CA 93727-4141 Ph: (800) 492-4227

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Luiz Thiago Pereira De Carvalho, DDS - Medicare Dentist in Fresno, CA