Elmira Khodapanah, DDS in San Diego, CA - Medicare Dentist Provider

Elmira Khodapanah, DDS is a medicare enrolled "Dentist - General Practice" provider in San Diego, California. Her current practice location is 2333 Camino Del Rio S Ste 140, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 574-1810.

Elmira Khodapanah is licensed to practice in California (license number 43989) 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 1750595195.

Contact Information

	Elmira Khodapanah, DDS
	2333 Camino Del Rio S Ste 140, San Diego, CA 92108-3607
	(619) 574-1810
	(619) 574-1326

Map and Direction

Healthcare Provider's Profile

Full Name	Elmira Khodapanah
Gender	Female
Speciality	Dentist - General Practice
Location	2333 Camino Del Rio S Ste 140, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750595195
Provider Enumeration Date: 05/09/2007
Last Update Date: 09/17/2009

Medicare PECOS Information:

PECOS PAC ID: 3072809045
Enrollment ID: I20240905001001

Medical Identifiers

Medical identifiers for Elmira Khodapanah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750595195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	43989 (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. Elmira Khodapanah allows following entities to bill medicare on her behalf.

Entity Name	Golden Valley Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

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. Elmira Khodapanah 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
Elmira Khodapanah, DDS 12079 World Trade Dr Unit 4, San Diego, CA 92128-4393 Ph: (858) 485-8855	Elmira Khodapanah, DDS 2333 Camino Del Rio S Ste 140, San Diego, CA 92108-3607 Ph: (619) 574-1810

Reviews and Comments

Dentist in San Diego, CA

Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239
Malieka Trinee Johnson, DDS Dentist Medicare: May Accept Medicare Assignments Practice Location: 4784 Muir Ave, San Diego, CA 92107 Phone: 619-518-9000
Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170
Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 El Cajon Blvd, San Diego, CA 92104 Phone: 619-637-9774
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135

Elmira Khodapanah, DDS - Medicare Dentist in San Diego, CA