Roger Wahlman, DDS in Angels Camp, CA - Medicare Dentist Provider

Roger Wahlman, DDS is a medicare enrolled "Dentist - General Practice" provider in Angels Camp, California. His current practice location is 571 Stanislaus Ave., Angels Camp, California. You can reach out to his office (for appointments etc.) via phone at (209) 736-4641.

Roger Wahlman is licensed to practice in California (license number 23394) 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 1790762375.

Contact Information

	Roger Wahlman, DDS
	571 Stanislaus Ave., Angels Camp, CA 95221
	(209) 736-4641
	Not Available

Healthcare Provider's Profile

Full Name	Roger Wahlman
Gender	Male
Speciality	Dentist - General Practice
Location	571 Stanislaus Ave., Angels Camp, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790762375
Provider Enumeration Date: 12/27/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799076386
Enrollment ID: I20160629001857

Medical Identifiers

Medical identifiers for Roger Wahlman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790762375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	23394 (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. Roger Wahlman 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
Roger Wahlman, DDS Po Box 820, Altaville, CA 95221-0820 Ph: (209) 736-4641	Roger Wahlman, DDS 571 Stanislaus Ave., Angels Camp, CA 95221 Ph: (209) 736-4641

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Dentist in Angels Camp, CA

David Anthony Groat, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1300 Kurt Dr Ste 101, Angels Camp, CA 95222 Phone: 209-736-0458 Fax: 209-736-4858
Dr. Gwendelyn De Guzman Enriquez, DMD Dentist Medicare: Medicare Enrolled Practice Location: 52 S Main St Ste B, Angels Camp, CA 95222 Phone: 209-674-6181 Fax: 209-674-6191

Roger Wahlman, DDS - Medicare Dentist in Angels Camp, CA