Dr Khashayar Etemadi, in Riverside, CA - Medicare Dentist Provider

Dr Khashayar Etemadi, is a medicare enrolled "Dentist - General Practice" provider in Riverside, California. His current practice location is 6071 Magnolia Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 680-1777.

Dr Khashayar Etemadi is licensed to practice in California (license number 40432) 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 1538240247.

Contact Information

	Dr Khashayar Etemadi,
	6071 Magnolia Ave, Riverside, CA 92506-2525
	(951) 680-1777
	(951) 681-0177

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Khashayar Etemadi
Gender	Male
Speciality	Dentist - General Practice
Location	6071 Magnolia Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538240247
Provider Enumeration Date: 10/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608189246
Enrollment ID: I20150724011959

Medical Identifiers

Medical identifiers for Dr Khashayar Etemadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538240247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	40432 (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 Khashayar Etemadi allows following entities to bill medicare on his behalf.

Entity Name	Star Dental Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699842492 PECOS PAC ID: 5799098331 Enrollment ID: O20150724011862

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 Khashayar Etemadi 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 Khashayar Etemadi, 6071 Magnolia Ave, Riverside, CA 92506-2525 Ph: (951) 680-1777	Dr Khashayar Etemadi, 6071 Magnolia Ave, Riverside, CA 92506-2525 Ph: (951) 680-1777

Reviews and Comments

Dentist in Riverside, CA

Dr. Kyungsin Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 285 E Alessandro Blvd, Ste 7d, Riverside, CA 92508 Phone: 951-780-9800 Fax: 951-780-3267
Han Som Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3457 Arlington Ave Ste 109, Riverside, CA 92506 Phone: 951-742-5208
Dr. Vivian Okhee Kwon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2955 Van Buren Blvd, Ste H4, Riverside, CA 92503 Phone: 951-689-8544 Fax: 951-689-2465
Dr. Osbalda Dominga Reina, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4959 Arlington Ave Ste H, Riverside, CA 92504 Phone: 951-299-7101 Fax: 951-299-7101
Dr. Armound Mahmoudi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10168 Indiana Ave, Riverside, CA 92503 Phone: 951-352-9747 Fax: 951-352-2316
Liviu Florian Eftimie, D.D.S, M.S., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3763 Tibbetts St, Riverside, CA 92506 Phone: 951-799-4911 Fax: 951-778-0799
Manuel Humberto Guevara, DDS,MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3679 Arlington Ave, Riverside, CA 92506 Phone: 951-683-1811 Fax: 951-782-0649

Dr Khashayar Etemadi, - Medicare Dentist in Riverside, CA