Mr Edmond K Fung, DDS in Pinole, CA - Medicare Dentist Provider

Mr Edmond K Fung, DDS is a medicare enrolled "Dentist - General Practice" provider in Pinole, California. His current practice location is 1500 Tara Hills Dr, Suite 104, Pinole, California. You can reach out to his office (for appointments etc.) via phone at (510) 724-2360.

Mr Edmond K Fung is licensed to practice in California (license number 42469) 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 1093919466.

Contact Information

	Mr Edmond K Fung, DDS
	1500 Tara Hills Dr, Suite 104, Pinole, CA 94564-2577
	(510) 724-2360
	(510) 724-2362

Healthcare Provider's Profile

Full Name	Mr Edmond K Fung
Gender	Male
Speciality	Dentist - General Practice
Location	1500 Tara Hills Dr, Pinole, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093919466
Provider Enumeration Date: 06/12/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6204091648
Enrollment ID: I20120710000145

Medical Identifiers

Medical identifiers for Mr Edmond K Fung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093919466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	42469 (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. Mr Edmond K Fung 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
Mr Edmond K Fung, DDS 1275 Cinnamon Ct, Walnut Creek, CA 94596-6402 Ph: (925) 944-9873	Mr Edmond K Fung, DDS 1500 Tara Hills Dr, Suite 104, Pinole, CA 94564-2577 Ph: (510) 724-2360

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Dentist in Pinole, CA

Dr. Mojdeh Oshagh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2000 Appian Way, Suite 204, Pinole, CA 94564 Phone: 510-724-5700 Fax: 510-724-5040
Dr. Frank Beavers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2643 Appian Way Ste B, Pinole, CA 94564 Phone: 510-758-0900 Fax: 510-758-0901
Gordon Lee Watson Jr., D.D.S. INC Dentist Medicare: Not Enrolled in Medicare Practice Location: 2150 Appian Way, Suite 205, Pinole, CA 94564 Phone: 510-724-5363 Fax: 510-724-5391
Dr. Carolyn L. Yu, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1430 Tara Hills Dr, Suite C, Pinole, CA 94564 Phone: 510-724-8001 Fax: 510-724-1930
Edward Jang, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2000 Appian Way, Suite 201, Pinole, CA 94564 Phone: 510-724-8555 Fax: 510-724-3555
Dr. Leslie C. Chow, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2830 Pinole Valley Rd Ste A, Pinole, CA 94564 Phone: 510-758-6684 Fax: 510-669-2083

Mr Edmond K Fung, DDS - Medicare Dentist in Pinole, CA