Ricuccio A Negom, DDS - Medicare Dentist in San Luis Obispo, CA

Ricuccio A Negom, DDS is a medicare enrolled "Dentist" provider in San Luis Obispo, California. His current practice location is 735 Tank Farm Rd Ste 170, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at (805) 549-9000.

Ricuccio A Negom is licensed to practice in California (license number 55065) 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 1124208152.

Contact Information

Ricuccio A Negom, DDS
735 Tank Farm Rd Ste 170,
San Luis Obispo, CA 93401-7071
(805) 549-9000
(805) 549-9004



Healthcare Provider's Profile

Full NameRicuccio A Negom
GenderMale
SpecialityDentist
Location735 Tank Farm Rd Ste 170, San Luis Obispo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124208152
  • Provider Enumeration Date: 11/07/2007
  • Last Update Date: 03/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759660715
  • Enrollment ID: I20161115000320

Medical Identifiers

Medical identifiers for Ricuccio A Negom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124208152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 55065 (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. Ricuccio A Negom 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
Ricuccio A Negom, DDS
735 Tank Farm Rd Ste 170,
San Luis Obispo, CA 93401-7071

Ph: (805) 549-9000
Ricuccio A Negom, DDS
735 Tank Farm Rd Ste 170,
San Luis Obispo, CA 93401-7071

Ph: (805) 549-9000

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› Verified 8 days ago


Dentist in San Luis Obispo, CA

Dr. James A Forester, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 620 California Blvd, Suite G, San Luis Obispo, CA 93401
Phone: 805-592-2020    Fax: 805-592-2022
Dr. Rachel Eulenberg Williams, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 620 California Blvd, Suite G, San Luis Obispo, CA 93401
Phone: 805-592-2020    Fax: 805-592-2022
Dr. Wesley Earl Armstrong, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1318 Johnson Ave, San Luis Obispo, CA 93401
Phone: 805-544-1881    
Dr. Gregory Pearce Thurston, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1486 Palm St, San Luis Obispo, CA 93401
Phone: 805-543-8675    Fax: 805-543-8696
Dr. Cole Woodland, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 973 E Foothill Blvd # 101, San Luis Obispo, CA 93405
Phone: 805-868-9249    
Apurva Sharma,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3870 Broad St Ste 1, San Luis Obispo, CA 93401
Phone: 805-202-4988    
Dr. Bradley Milde, D.M.D., D.H.SC.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1223 Higuera St, Suite #201, San Luis Obispo, CA 93401
Phone: 805-541-3411    

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