Vivian Villasenor, DMD in Jurupa Valley, CA - Medicare Dentist Provider

Vivian Villasenor, DMD is a medicare enrolled "Dentist - General Practice" provider in Jurupa Valley, California. Her current practice location is 6445 Pats Ranch Rd, Jurupa Valley, California. You can reach out to her office (for appointments etc.) via phone at (951) 808-5881.

Vivian Villasenor is licensed to practice in California (license number 108095) 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 1124743851.

Contact Information

	Vivian Villasenor, DMD
	6445 Pats Ranch Rd, Jurupa Valley, CA 91752-4439
	(951) 808-5881
	Not Available

Healthcare Provider's Profile

Full Name	Vivian Villasenor
Gender	Female
Speciality	Dentist - General Practice
Location	6445 Pats Ranch Rd, Jurupa Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124743851
Provider Enumeration Date: 10/05/2022
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 6507230141
Enrollment ID: I20230321002350

Medical Identifiers

Medical identifiers for Vivian Villasenor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124743851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	108095 (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. Vivian Villasenor 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
Vivian Villasenor, DMD 13632 Hunters Run Ct, Eastvale, CA 92880-5500 Ph: (626) 423-2800	Vivian Villasenor, DMD 6445 Pats Ranch Rd, Jurupa Valley, CA 91752-4439 Ph: (951) 808-5881

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Dentist in Jurupa Valley, CA

Sophia Azer Sawires, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6445 Pats Ranch Rd Ste G, Jurupa Valley, CA 91752 Phone: 714-625-1319
Christine Hyesook Han, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4834 Etiwanda Ave Ste 200, Jurupa Valley, CA 91752 Phone: 951-688-7249
Hyun Wook Nam, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6445 Pats Ranch Rd Ste F, Jurupa Valley, CA 91752 Phone: 951-228-9328

Vivian Villasenor, DMD - Medicare Dentist in Jurupa Valley, CA