Dr William B Bohannan, DDS, MD in Burlingame, CA

Dr William B Bohannan, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Burlingame, California. His current practice location is 1750 El Camino Real, Suite 403, Burlingame, California. You can reach out to his office (for appointments etc.) via phone at (650) 692-1530.

Dr William B Bohannan is licensed to practice in California (license number A64471) 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 1013077239.

Contact Information

	Dr William B Bohannan, DDS, MD
	1750 El Camino Real, Suite 403, Burlingame, CA 94010-3228
	(650) 692-1530
	(650) 692-2655

Map and Direction

Healthcare Provider's Profile

Full Name	Dr William B Bohannan
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1750 El Camino Real, Burlingame, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013077239
Provider Enumeration Date: 12/11/2006
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 2466757927
Enrollment ID: I20200113001553

Medical Identifiers

Medical identifiers for Dr William B Bohannan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013077239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	A64471 (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 William B Bohannan allows following entities to bill medicare on his 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 William B Bohannan 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 William B Bohannan, DDS, MD 1750 El Camino Real, Suite 403, Burlingame, CA 94010 Ph: (650) 692-1530	Dr William B Bohannan, DDS, MD 1750 El Camino Real, Suite 403, Burlingame, CA 94010-3228 Ph: (650) 692-1530

Reviews and Comments

Dentist in Burlingame, CA

Dr. Anthony John Brungo, DMD, MS Dentist Medicare: Medicare Enrolled Practice Location: 1110 Bernal Ave, Burlingame, CA 94010 Phone: 412-897-4028
Sayali S. Bhavsar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1117 Laguna Ave Apt 5, Burlingame, CA 94010 Phone: 949-527-2599
Dr. Douglas H Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1828 El Camino Real, Suite # 810, Burlingame, CA 94010 Phone: 650-692-0727 Fax: 650-692-1059
Dr. Jennifer Hong Chew, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1860 El Camino Real, 305, Burlingame, CA 94010 Phone: 650-692-5600 Fax: 650-692-5601
Dr. Eileen T Mccarthy, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1275 California Dr, Burlingame, CA 94010 Phone: 650-343-3042
Dr. Ross O Williams, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1740 Marco Polo Wy, #8, Burlingame, CA 94010 Phone: 650-692-3387 Fax: 650-692-6886

Dr William B Bohannan, DDS, MD - Medicare Dentist in Burlingame, CA