Vixiane Sengsouvanh, DDS in Rancho Murieta, CA - Medicare Dentist Provider

Vixiane Sengsouvanh, DDS is a medicare enrolled "Dentist" provider in Rancho Murieta, California. His current practice location is 7277 Lone Pine Dr., Ste. C 105, Rancho Murieta, California. You can reach out to his office (for appointments etc.) via phone at (916) 354-2637.

Vixiane Sengsouvanh is licensed to practice in California (license number 48994) 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 1568664498.

Contact Information

	Vixiane Sengsouvanh, DDS
	7277 Lone Pine Dr., Ste. C 105, Rancho Murieta, CA 95683
	(916) 354-2637
	(916) 354-3270

Healthcare Provider's Profile

Full Name	Vixiane Sengsouvanh
Gender	Male
Speciality	Dentist
Location	7277 Lone Pine Dr., Rancho Murieta, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568664498
Provider Enumeration Date: 06/04/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3577715705
Enrollment ID: I20121214000125

Medical Identifiers

Medical identifiers for Vixiane Sengsouvanh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568664498	NPI	-	NPPES
48994	Other	CA	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	48994 (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. Vixiane Sengsouvanh 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
Vixiane Sengsouvanh, DDS Po Box 1451, Rancho Murieta, CA 95683-1451 Ph: (916) 354-2637	Vixiane Sengsouvanh, DDS 7277 Lone Pine Dr., Ste. C 105, Rancho Murieta, CA 95683 Ph: (916) 354-2637

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Vixiane Sengsouvanh, DDS - Medicare Dentist in Rancho Murieta, CA