Thai Thuy Ta, DDS in West Covina, CA - Medicare Dentist Provider

Thai Thuy Ta, DDS is a medicare enrolled "Dentist - Periodontics" provider in West Covina, California. Her current practice location is 1740 W Cameron Ave Ste 106, West Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 337-4440.

Thai Thuy Ta is licensed to practice in California (license number 45530) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003953563.

Contact Information

	Thai Thuy Ta, DDS
	1740 W Cameron Ave Ste 106, West Covina, CA 91790-2719
	(626) 337-4440
	Not Available

Healthcare Provider's Profile

Full Name	Thai Thuy Ta
Gender	Female
Speciality	Dentist - Periodontics
Location	1740 W Cameron Ave Ste 106, West Covina, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003953563
Provider Enumeration Date: 01/31/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0345517298
Enrollment ID: I20170524000519

Medical Identifiers

Medical identifiers for Thai Thuy Ta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003953563	NPI	-	NPPES
445530	Other	CA	G.G. DELTA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	45530 (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. Thai Thuy Ta 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
Thai Thuy Ta, DDS 1740 W Cameron Ave Ste 106, West Covina, CA 91790-2719 Ph: (626) 337-4440	Thai Thuy Ta, DDS 1740 W Cameron Ave Ste 106, West Covina, CA 91790-2719 Ph: (626) 337-4440

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Dentist in West Covina, CA

Ricardo Andres Suarez, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 S Vincent Ave, Suite 404, West Covina, CA 91790 Phone: 626-919-4337 Fax: 626-919-2300
Dr. Dmitry Tubis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1710 W Cameron Ave Ste 100, West Covina, CA 91790 Phone: 626-962-4428 Fax: 626-962-9789
Dr. Bhanumati Toprani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 626-919-4333 Fax: 626-919-8503
Dr. Emmanuel Ferrer Magalong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1415 W Garvey Ave, #101, West Covina, CA 91790 Phone: 626-851-0020 Fax: 626-851-0035
Maninder Singh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1312 W Francisquito Ave Suite D4, West Covina, CA 91790 Phone: 626-918-0171 Fax: 626-918-1173
Wai Aung, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 154 Plaza Dr, West Covina, CA 91790 Phone: 626-962-1700

Thai Thuy Ta, DDS - Medicare Dentist in West Covina, CA