Peter D Cancellier, DDS in Irvine, CA - Medicare Dentist Provider

Peter D Cancellier, DDS is a medicare enrolled "Dentist - Endodontics" provider in Irvine, California. His current practice location is 33 Creek Rd., #330, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (949) 857-3636.

Peter D Cancellier is licensed to practice in California (license number 30764) 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 1285788976.

Contact Information

	Peter D Cancellier, DDS
	33 Creek Rd., #330, Irvine, CA 92604-7705
	(949) 857-3636
	Not Available

Healthcare Provider's Profile

Full Name	Peter D Cancellier
Gender	Male
Speciality	Dentist - Endodontics
Location	33 Creek Rd., Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285788976
Provider Enumeration Date: 01/22/2007
Last Update Date: 07/24/2015

Medicare PECOS Information:

PECOS PAC ID: 8921304981
Enrollment ID: I20160317000517

Medical Identifiers

Medical identifiers for Peter D Cancellier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285788976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	30764 (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. Peter D Cancellier 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
Peter D Cancellier, DDS 33 Creek Rd., #330, Irvine, CA 92604-7705 Ph: (949) 857-3636	Peter D Cancellier, DDS 33 Creek Rd., #330, Irvine, CA 92604-7705 Ph: (949) 857-3636

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Peter D Cancellier, DDS - Medicare Dentist in Irvine, CA