Dr Bassam W Fargo, DDS in Fontana, CA - Medicare Dentist Provider

Dr Bassam W Fargo, DDS is a medicare enrolled "Dentist" provider in Fontana, California. His current practice location is 8275 Sierra Ave Ste 102, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (951) 329-7904.

Dr Bassam W Fargo is licensed to practice in California (license number 101625) 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 1649794009.

Contact Information

	Dr Bassam W Fargo, DDS
	8275 Sierra Ave Ste 102, Fontana, CA 92335-3557
	(951) 329-7904
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bassam W Fargo
Gender	Male
Speciality	Dentist
Location	8275 Sierra Ave Ste 102, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649794009
Provider Enumeration Date: 07/27/2017
Last Update Date: 03/11/2020

Medicare PECOS Information:

PECOS PAC ID: 5395137889
Enrollment ID: I20220112002659

Medical Identifiers

Medical identifiers for Dr Bassam W Fargo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649794009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	101625 (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. Dr Bassam W Fargo allows following entities to bill medicare on his behalf.

Entity Name	Kamran Sahabi Dental Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356873053 PECOS PAC ID: 5294124376 Enrollment ID: O20211110002910

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. Dr Bassam W Fargo 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
Dr Bassam W Fargo, DDS 11559 Springwood Ct, Riverside, CA 92505-5116 Ph: (951) 329-7904	Dr Bassam W Fargo, DDS 8275 Sierra Ave Ste 102, Fontana, CA 92335-3557 Ph: (951) 329-7904

Reviews and Comments

Dentist in Fontana, CA

Dr. Nick L. Le, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 14976 Foothill Blvd Ste 100, Fontana, CA 92335 Phone: 909-829-5530
Dr. Alpesh K Patel, DDS Dentist Medicare: Medicare Enrolled Practice Location: 17644 Valley Blvd, Unit # 1, Fontana, CA 92316 Phone: 909-877-0650
Mr. Jugal K Gupta, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11623 Cherry Ave, Ste B-2, Fontana, CA 92337 Phone: 909-355-1485 Fax: 909-355-2715
Dr. Edward Lee Vera, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 16946 Marygold Ave Ste 101, Fontana, CA 92335 Phone: 909-355-0385
Dr. Salina Safaei, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16701 Valley Blvd # Cd, Fontana, CA 92335 Phone: 909-356-4490 Fax: 909-356-5239
Dr. Arun Kumar Gupta, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11623 Cherry Ave Ste B2, Fontana, CA 92337 Phone: 909-355-1485 Fax: 909-355-2715
Jun Son Yoo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16920 Foothill Blvd, Suite D, Fontana, CA 92335 Phone: 909-823-3300 Fax: 909-823-9391

Dr Bassam W Fargo, DDS - Medicare Dentist in Fontana, CA