Varun Mallela, in Fresno, CA - Medicare Dentist Provider

Varun Mallela, is a medicare enrolled "Dentist - General Practice" provider in Fresno, California. His current practice location is 5690 N Fresno St Ste 101, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 436-3470.

Varun Mallela is licensed to practice in California (license number 65066) 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 1134592066.

Contact Information

	Varun Mallela,
	5690 N Fresno St Ste 101, Fresno, CA 93710-8332
	(559) 436-3470
	Not Available

Healthcare Provider's Profile

Full Name	Varun Mallela
Gender	Male
Speciality	Dentist - General Practice
Location	5690 N Fresno St Ste 101, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134592066
Provider Enumeration Date: 10/30/2015
Last Update Date: 10/30/2015

Medicare PECOS Information:

PECOS PAC ID: 4183924574
Enrollment ID: I20151208002320

Medical Identifiers

Medical identifiers for Varun Mallela such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134592066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	65066 (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. Varun Mallela 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
Varun Mallela, 5690 N Fresno St Ste 101, Fresno, CA 93710-8332 Ph: () -	Varun Mallela, 5690 N Fresno St Ste 101, Fresno, CA 93710-8332 Ph: (559) 436-3470

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Dentist in Fresno, CA

Rahul Deepak Golani, BDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4646 N 1st St, Fresno, CA 93726 Phone: 800-300-6664
Dr. Gregory Miyake, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7234 N Sequoia Ave, Fresno, CA 93711 Phone: 559-246-4195 Fax: 559-447-1813
Dr. Albert Pomerantz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4820 N 1st St Ste 101, Fresno, CA 93726 Phone: 559-226-6681 Fax: 559-226-6806
Mr. Paramjit S Sandhu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2509 E Cole Ave, Fresno, CA 93720 Phone: 559-323-7120
Dr. Quincy Izabela Sofowora, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4901 E Kings Canyon Rd, Fresno, CA 93727 Phone: 866-592-8129
Saadia A Rana, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6687 N Blackstone Ave Ste 101, Fresno, CA 93710 Phone: 559-439-5231
Dr. Aye K. Ko, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1409 N Fresno St, Fresno, CA 93703 Phone: 559-264-4543 Fax: 559-264-0226

Varun Mallela, - Medicare Dentist in Fresno, CA