Divya Reddy Peddireddy, DDS in Costa Mesa, CA

Divya Reddy Peddireddy, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Costa Mesa, California. Her current practice location is 3070 Bristol St Ste 180, Costa Mesa, California. You can reach out to her office (for appointments etc.) via phone at (714) 924-4824.

Divya Reddy Peddireddy is licensed to practice in California (license number DDS62530) 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 1356782080.

Contact Information

	Divya Reddy Peddireddy, DDS
	3070 Bristol St Ste 180, Costa Mesa, CA 92626-3072
	(714) 924-4824
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Divya Reddy Peddireddy
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3070 Bristol St Ste 180, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356782080
Provider Enumeration Date: 07/10/2013
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8123337649
Enrollment ID: I20240305000336

Medical Identifiers

Medical identifiers for Divya Reddy Peddireddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356782080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DDS62530 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DDS62530 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Divya Reddy Peddireddy allows following entities to bill medicare on her behalf.

Entity Name	Divya Peddireddy Dental Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164287710 PECOS PAC ID: 7012352719 Enrollment ID: O20240305000297

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. Divya Reddy Peddireddy 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
Divya Reddy Peddireddy, DDS 184 Stonecliffe Aisle, Irvine, CA 92603-5715 Ph: () -	Divya Reddy Peddireddy, DDS 3070 Bristol St Ste 180, Costa Mesa, CA 92626-3072 Ph: (714) 924-4824

Reviews and Comments

Dentist in Costa Mesa, CA

Dr. Gary L Wyatt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1801 Newport Boulevard, Suite C, Costa Mesa, CA 92627 Phone: 949-650-1030 Fax: 949-722-2481
Dr. Jeremy Brian Jorgenson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3033 Bristol St, Ste Aa, Costa Mesa, CA 92626 Phone: 714-424-9099
Ms. Na Young Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St Ste 2e, Costa Mesa, CA 92627 Phone: 714-873-7081
Talayeh Azarpajouh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Harbor Blvd Ste G1, Costa Mesa, CA 92626 Phone: 714-546-6100
Dr. Kouichi Itoh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3151 Airway Ave. # F-103, Costa Mesa, CA 92626 Phone: 714-549-7030
William Pomeroy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 E 18th St Ste D, Costa Mesa, CA 92627 Phone: 949-548-3384
Nadine Ashraf Sidki Tawfik, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Harbor Blvd Ste G1, Costa Mesa, CA 92626 Phone: 714-546-6100

Divya Reddy Peddireddy, DDS - Medicare Dentist in Costa Mesa, CA