Dr Joseph Zeidan, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in La Jolla, California. His current practice location is
8950 Villa La Jolla Dr Ste A128, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at
(858) 452-8606.
Dr Joseph Zeidan is licensed to practice in California (license number 59518) 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 1497065775.
Healthcare Provider's Profile
| Full Name | Dr Joseph Zeidan |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 8950 Villa La Jolla Dr Ste A128, La Jolla, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497065775
- Provider Enumeration Date: 10/20/2010
- Last Update Date: 09/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749562254
- Enrollment ID: I20241223002881
Medical Identifiers
Medical identifiers for Dr Joseph Zeidan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497065775 | NPI | - | NPPES |
| 92-0915896 | Other | CA | EINS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN23517 (Florida) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DN23517 (Florida) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 59518 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 59518 (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 Joseph Zeidan allows following entities to bill medicare on his behalf.
| Entity Name | Emergency And Acute Care Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734 |
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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 Joseph Zeidan 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 |
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Dr Joseph Zeidan, DMD
8950 Villa La Jolla Dr Ste A128,
La Jolla, CA 92037-1709
Ph: (858) 452-8606 | Dr Joseph Zeidan, DMD
8950 Villa La Jolla Dr Ste A128,
La Jolla, CA 92037-1709
Ph: (858) 452-8606 |
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