Dr Jaleh Tina Keyhani, DDS in Fairfield, CA - Medicare Oral Surgery Provider

Dr Jaleh Tina Keyhani, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fairfield, California. She went to Ohio State University College Of Dentistry and graduated in 1993 and has 33 years of diverse experience with area of expertise as Oral Surgery. Her current practice location is 1590 Webster St Ste E, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 759-5550.

Dr Jaleh Tina Keyhani is licensed to practice in California (license number DDS60131) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043214448.

Contact Information

	Dr Jaleh Tina Keyhani, DDS
	1590 Webster St Ste E, Fairfield, CA 94533-4932
	(707) 759-5550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jaleh Tina Keyhani
Gender	Female
Speciality	Oral Surgery
Experience	33 Years
Location	1590 Webster St Ste E, Fairfield, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jaleh Tina Keyhani attended and graduated from Ohio State University College Of Dentistry in 1993

NPI Data:

NPI Number: 1043214448
Provider Enumeration Date: 06/13/2005
Last Update Date: 04/22/2026

Medicare PECOS Information:

PECOS PAC ID: 6608203732
Enrollment ID: I20200229000110

Medical Identifiers

Medical identifiers for Dr Jaleh Tina Keyhani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043214448	NPI	-	NPPES
529604	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DDS60131 (California)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D5160 (Arizona)	Secondary

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 Jaleh Tina Keyhani allows following entities to bill medicare on her behalf.

Entity Name	M Elder D D S A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760633341 PECOS PAC ID: 7810290350 Enrollment ID: O20160907001070

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 Jaleh Tina Keyhani 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 Jaleh Tina Keyhani, DDS 8350 E Sutton Dr, Scottsdale, AZ 85260-4929 Ph: (602) 318-6795	Dr Jaleh Tina Keyhani, DDS 1590 Webster St Ste E, Fairfield, CA 94533-4932 Ph: (707) 759-5550

Reviews and Comments

Dentist in Fairfield, CA

Dr. Mark James Warner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1291 Oliver Rd, Fairfield, CA 94534 Phone: 707-422-7633 Fax: 707-422-2630
Dr. David Alan Dziachan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1295 Oliver Road, Fairfield, CA 94534 Phone: 707-427-3172 Fax: 707-427-3769
Dr. Claudine Ann D Yu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4455 Central Way, Suite A, Fairfield, CA 94534 Phone: 707-863-0777 Fax: 707-863-0700
Dr. Armaun Karimzadeh, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3694 Hilborn Rd Ste 100, Fairfield, CA 94534 Phone: 707-422-5444
Kyle Mcnulty, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5041 Business Center Dr, Fairfield, CA 94534 Phone: 831-359-1148
Dr. James Changwon Choi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 60th Medical Group/sghq, 101 Bodin Circle Travis Afb, Fairfield, CA 94535 Phone: 707-423-7611

Dr Jaleh Tina Keyhani, DDS - Medicare Dentist in Fairfield, CA