Teodoro David Pena, - Medicare Dentist in Chula Vista, CA

Teodoro David Pena, is a medicare enrolled "Dentist" provider in Chula Vista, California. His current practice location is 510 Broadway Ste 4-5, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (619) 476-9400.

Teodoro David Pena is licensed to practice in California (license number 64509) 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 1104332741.

Contact Information

Teodoro David Pena,
510 Broadway Ste 4-5,
Chula Vista, CA 91910
(619) 476-9400
Not Available



Healthcare Provider's Profile

Full NameTeodoro David Pena
GenderMale
SpecialityDentist
Location510 Broadway Ste 4-5, Chula Vista, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104332741
  • Provider Enumeration Date: 12/19/2017
  • Last Update Date: 06/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1759636236
  • Enrollment ID: I20180625002499

Medical Identifiers

Medical identifiers for Teodoro David Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104332741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 64509 (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. Teodoro David Pena 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
Teodoro David Pena,
510 Broadway Ste 4-5,
Chula Vista, CA 91910-5306

Ph: (619) 476-9400
Teodoro David Pena,
510 Broadway Ste 4-5,
Chula Vista, CA 91910

Ph: (619) 476-9400

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› Verified 6 days ago


Dentist in Chula Vista, CA

Dr. Federico G Drachenberg, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 890 Eastlake Parkway, Ste 101, Chula Vista, CA 91914
Phone: 619-934-3258    Fax: 619-651-7578
Evelyn Lugue Salazar, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Broadway, Chula Vista, CA 91911
Phone: 619-422-8891    Fax: 619-422-4356
Dr. Graciela L Lopez, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 301 3rd Ave, Chula Vista, CA 91910
Phone: 619-476-1444    Fax: 619-476-0656
Luis E Real, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 690 E St, Chula Vista, CA 91910
Phone: 619-425-2122    Fax: 619-425-2125
Karen Yong Liu, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 885 Canarios Court, Suite 202, Chula Vista, CA 91910
Phone: 619-656-6800    Fax: 619-656-0200
Dr. Mercedes F Razo, D.D.S,M.A.G.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 885 Canarios Ct, #210, Chula Vista, CA 91910
Phone: 619-656-4199    Fax: 619-656-6945
Ruth Garcia Rosas, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2452 Fenton St Ste 200, Chula Vista, CA 91914
Phone: 619-934-6620    

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