Raymond J Mazuchowski Jr, DDS - Medicare Dentist in San Pedro, CA

Raymond J Mazuchowski Jr, DDS is a medicare enrolled "Dentist" provider in San Pedro, California. His current practice location is 697 S Gaffery St, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at (310) 925-3477.

Raymond J Mazuchowski Jr is licensed to practice in Wisconsin (license number 1001463) 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 1255875944.

Contact Information

Raymond J Mazuchowski Jr, DDS
697 S Gaffery St,
San Pedro, CA 90731
(310) 925-3477
Not Available



Healthcare Provider's Profile

Full NameRaymond J Mazuchowski Jr
GenderMale
SpecialityDentist
Location697 S Gaffery St, San Pedro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255875944
  • Provider Enumeration Date: 12/14/2016
  • Last Update Date: 07/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2365723996
  • Enrollment ID: I20161220000003

Medical Identifiers

Medical identifiers for Raymond J Mazuchowski Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255875944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 1001463 (Wisconsin)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. Raymond J Mazuchowski Jr 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
Raymond J Mazuchowski Jr, DDS
697 S Gaffey St,
San Pedro, CA 90731-3026

Ph: (310) 925-3477
Raymond J Mazuchowski Jr, DDS
697 S Gaffery St,
San Pedro, CA 90731

Ph: (310) 925-3477

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› Verified 4 days ago


Dentist in San Pedro, CA

Erika Nakamura Gomez, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 520 W 7th St, San Pedro, CA 90731
Phone: 310-832-5361    
Dr. Arthur G Kaiser, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 946 N Western Ave, San Pedro, CA 90732
Phone: 310-831-0735    Fax: 310-831-9784
Dr. Sheila Lynne Barron-jacobs, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 737 W 9th St, San Pedro, CA 90731
Phone: 310-833-5367    Fax: 310-833-6112
Dr. Won Sur Park, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 531 W 7th St Ste B, San Pedro, CA 90731
Phone: 310-831-0003    Fax: 310-626-4166
Dr. Aldwin Philip Lumanlan,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 946 N Western Ave, San Pedro, CA 90732
Phone: 310-831-0735    
Dr. Christopher A Groat, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1350 W 7th St, San Pedro, CA 90732
Phone: 310-832-5133    Fax: 310-832-1150
Dr. Robert F Autore, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1350 W 7th St, San Pedro, CA 90732
Phone: 310-832-3257    

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