Eliza Berris, DDS in Lake Forest, CA - Medicare Dentist Provider

Eliza Berris, DDS is a medicare enrolled "Dentist" provider in Lake Forest, California. Her current practice location is 22111 Timberline Way, Lake Forest, California. You can reach out to her office (for appointments etc.) via phone at (949) 975-9230.

Eliza Berris is licensed to practice in California (license number 101107) 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 1639601578.

Contact Information

	Eliza Berris, DDS
	22111 Timberline Way, Lake Forest, CA 92630-3431
	(949) 975-9230
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Eliza Berris
Gender	Female
Speciality	Dentist
Location	22111 Timberline Way, Lake Forest, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639601578
Provider Enumeration Date: 03/30/2017
Last Update Date: 03/30/2017

Medicare PECOS Information:

PECOS PAC ID: 2961760863
Enrollment ID: I20190212002129

Medical Identifiers

Medical identifiers for Eliza Berris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639601578	NPI	-	NPPES
101107	Other	CA	DENTAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	101107 (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. Eliza Berris allows following entities to bill medicare on her behalf.

Entity Name	Boung Yeop Kim Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912421942 PECOS PAC ID: 5193070605 Enrollment ID: O20180622002630

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. Eliza Berris 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
Eliza Berris, DDS 22111 Timberline Way, Lake Forest, CA 92630-3431 Ph: (949) 975-9230	Eliza Berris, DDS 22111 Timberline Way, Lake Forest, CA 92630-3431 Ph: (949) 975-9230

Reviews and Comments

Dentist in Lake Forest, CA

Ramin Khoshsar, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 26501 Rancho Pkwy S, Suite 202, Lake Forest, CA 92630 Phone: 949-273-8220 Fax: 949-273-8120
Dr. William K Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 26741 Rancho Pkwy Ste 105-a, Lake Forest, CA 92630 Phone: 949-716-4892
Dr. Gary C Jones, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630 Phone: 949-586-0270 Fax: 949-859-8446
Dr. Mandeep Bal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 24531 Trabuco Rd Ste H, Lake Forest, CA 92630 Phone: 949-855-3368
Dr. Robin Arita, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 23321 El Toro Rd Ste C, Lake Forest, CA 92630 Phone: 949-916-9798
Carolyn Elizabeth Castaneda Fassioli, Dentist Medicare: Not Enrolled in Medicare Practice Location: 22706 Aspan St Ste 602, Lake Forest, CA 92630 Phone: 949-716-7000 Fax: 949-716-0600
Emaan Qureshi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 23704 El Toro Rd Ste A, Lake Forest, CA 92630 Phone: 949-770-9355

Eliza Berris, DDS - Medicare Dentist in Lake Forest, CA