Dr Shabnam Ravadgar, DMD in Herndon, VA - Medicare Dentist Provider

Dr Shabnam Ravadgar, DMD is a medicare enrolled "Dentist - General Practice" provider in Herndon, Virginia. Her current practice location is 494 Elden St Ste 220, Herndon, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 574-1716.

Dr Shabnam Ravadgar is licensed to practice in Virginia (license number 0401416835) 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 1295114841.

Contact Information

	Dr Shabnam Ravadgar, DMD
	494 Elden St Ste 220, Herndon, VA 20170-4543
	(703) 574-1716
	(703) 662-9904

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shabnam Ravadgar
Gender	Female
Speciality	Dentist - General Practice
Location	494 Elden St Ste 220, Herndon, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295114841
Provider Enumeration Date: 05/28/2015
Last Update Date: 04/12/2022

Medicare PECOS Information:

PECOS PAC ID: 1557693504
Enrollment ID: I20191024002384

Medical Identifiers

Medical identifiers for Dr Shabnam Ravadgar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295114841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	0401416835 (Virginia)	Primary
122300000X	Dentist	DN21136 (Florida)	Secondary

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 Shabnam Ravadgar 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 Shabnam Ravadgar, DMD 494 Elden St Ste 220, Herndon, VA 20170-4543 Ph: (703) 574-1716	Dr Shabnam Ravadgar, DMD 494 Elden St Ste 220, Herndon, VA 20170-4543 Ph: (703) 574-1716

Reviews and Comments

Dentist in Herndon, VA

Parinaz Movaghari, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1035 Sterling Rd, Herndon, VA 20170 Phone: 703-471-8080
Dr. Bryan L Grimmer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 102 Elden St, Suite 17, Herndon, VA 20170 Phone: 703-478-0315 Fax: 703-478-7451
Dr. Elham Safari, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 555 Grove Street, Suite 108, Herndon, VA 20170 Phone: 703-787-7778 Fax: 571-203-1390
Mojdeh Vessali, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 505 Huntmar Park Dr, Ste #150, Herndon, VA 20170 Phone: 703-736-0900 Fax: 703-736-0666
Dr. Raman K Jassal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Elden St, Suite #n, Herndon, VA 20170 Phone: 703-787-9000 Fax: 703-787-9000
Dr. Carroll Arthur Johnston, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 150 Elden St, Suite 200, Herndon, VA 20170 Phone: 703-707-2070 Fax: 703-707-0450
Dr. Mahathi Nanduri, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12832 Williams Meadow Ct, Herndon, VA 20171 Phone: 571-296-8047

Dr Shabnam Ravadgar, DMD - Medicare Dentist in Herndon, VA