Seth Stacey, DDS in Beaumont, CA - Medicare Dentist Provider

Seth Stacey, DDS is a medicare enrolled "Dentist" provider in Beaumont, California. His current practice location is 1620 E 2nd St Ste A, Beaumont, California. You can reach out to his office (for appointments etc.) via phone at (951) 769-9131.

Seth Stacey is licensed to practice in California (license number 103955) 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 1043862006.

Contact Information

	Seth Stacey, DDS
	1620 E 2nd St Ste A, Beaumont, CA 92223-3171
	(951) 769-9131
	Not Available

Healthcare Provider's Profile

Full Name	Seth Stacey
Gender	Male
Speciality	Dentist
Location	1620 E 2nd St Ste A, Beaumont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043862006
Provider Enumeration Date: 07/10/2019
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 8820458466
Enrollment ID: I20230714001331

Medical Identifiers

Medical identifiers for Seth Stacey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043862006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN.00205527 (Colorado)	Secondary
122300000X	Dentist	103955 (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. Seth Stacey 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
Seth Stacey, DDS 1510 Orange Ave Apt 301, Redlands, CA 92373-1493 Ph: (970) 215-9779	Seth Stacey, DDS 1620 E 2nd St Ste A, Beaumont, CA 92223-3171 Ph: (951) 769-9131

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Dr. Matta Joseph Matta Botrous, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 35894 Anderson St, Beaumont, CA 92223 Phone: 714-650-1661
Dr. Anu Chachad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 930 Beaumont Ave, Beaumont, CA 92223 Phone: 951-845-2200 Fax: 951-845-9643
Dr. Keiko Davisson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1202 Beaumont Ave, Beaumont, CA 92223 Phone: 951-845-2661
Dr. Cindy Quyen Huynh, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1620 E 2nd St Ste A, Beaumont, CA 92223 Phone: 951-267-4167
Sahejpreet Kaur, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1620 E 2nd St, Beaumont, CA 92223 Phone: 951-477-9868
Dr. Rakiya Lynette Jones, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1037 Beaumont Ave, Beaumont, CA 92223 Phone: 951-769-7797 Fax: 951-769-5585

Seth Stacey, DDS - Medicare Dentist in Beaumont, CA