Dr Tobias Konrad Boehm, DDS, PHD in Pomona, CA

Dr Tobias Konrad Boehm, DDS, PHD is a medicare enrolled "Dentist - Periodontics" provider in Pomona, California. His current practice location is 795 E Second Street, Suite 8, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (909) 706-3910.

Dr Tobias Konrad Boehm is licensed to practice in California (license number 59807) 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 1235469529.

Contact Information

	Dr Tobias Konrad Boehm, DDS, PHD
	795 E Second Street, Suite 8, Pomona, CA 91766-2007
	(909) 706-3910
	(909) 469-8650

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tobias Konrad Boehm
Gender	Male
Speciality	Dentist - Periodontics
Location	795 E Second Street, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235469529
Provider Enumeration Date: 01/08/2010
Last Update Date: 05/23/2018

Medicare PECOS Information:

PECOS PAC ID: 3274845839
Enrollment ID: I20180705001513

Medical Identifiers

Medical identifiers for Dr Tobias Konrad Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235469529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	59807 (California)	Primary
1223P0300X	Dentist - Periodontics	053283-1 (New York)	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 Tobias Konrad Boehm allows following entities to bill medicare on his behalf.

Entity Name	Western University Of Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679515217 PECOS PAC ID: 0648208991 Enrollment ID: O20050728000981

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 Tobias Konrad Boehm 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 Tobias Konrad Boehm, DDS, PHD 309 E Second St, College Of Dental Medicine / Western University, Pomona, CA 91766-1854 Ph: (909) 706-3831	Dr Tobias Konrad Boehm, DDS, PHD 795 E Second Street, Suite 8, Pomona, CA 91766-2007 Ph: (909) 706-3910

Reviews and Comments

Dentist in Pomona, CA

Dr. Jing Chen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 W Holt Ave Ste E, Pomona, CA 91768 Phone: 909-623-4435
Dr. Abrahim Abdul Mustafa, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2280 S Garey Ave, Pomona, CA 91766 Phone: 909-364-0633 Fax: 909-364-0636
Dr. Mark Douglas Mintline, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 795 E. Second St., Suite 8, Pomona, CA 91766 Phone: 909-706-3910 Fax: 909-469-8650
Mrs. Ha Nhi Tran, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 667 N Indian Hill Blvd, Pomona, CA 91767 Phone: 909-620-6664
Dr. Gregory Paul Stone, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3530 West Pomona Blvd, Pomona, CA 91769 Phone: 909-595-1221
Dr. Robert Dee Stevenson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 795 E 2nd St, Suite 8, Pomona, CA 91766 Phone: 909-706-3836
Dr. Jay David Preston, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 309 E 2nd St, Pomona, CA 91766 Phone: 909-623-6116

Dr Tobias Konrad Boehm, DDS, PHD - Medicare Dentist in Pomona, CA