Grigory Rozenovich, DDS - Medicare Dentist in Santa Ana, CA

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Grigory Rozenovich, DDS is a medicare enrolled "Dentist - General Practice" provider in Santa Ana, California. His current practice location is 3620 S. Bristol St. Suite 210, Santa Ana, California. You can reach out to his office (for appointments etc.) via phone at (714) 549-1409.

Grigory Rozenovich is licensed to practice in California (license number D40115) 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 1093891764.

Contact Information

Grigory Rozenovich, DDS
3620 S. Bristol St. Suite 210,
Santa Ana, CA 92704
(714) 549-1409
(714) 549-2118

Map and Direction




Healthcare Provider's Profile

Full NameGrigory Rozenovich
GenderMale
SpecialityDentist - General Practice
Location3620 S. Bristol St. Suite 210, Santa Ana, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093891764
  • Provider Enumeration Date: 10/27/2006
  • Last Update Date: 05/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0941509707
  • Enrollment ID: I20160429000558

Medical Identifiers

Medical identifiers for Grigory Rozenovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093891764NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D40115 (California)Primary
1223G0001XDentist - General Practice 40115 (California)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. Grigory Rozenovich allows following entities to bill medicare on his behalf.
Entity NameGrigory Rozenvich D.d.s., Inc..
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912196171
PECOS PAC ID: 9032418892
Enrollment ID: O20160429000435

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. Grigory Rozenovich 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 AddressPractice Location Address
Grigory Rozenovich, DDS
3620 S. Bristol St. Suite 210,
Santa Ana, CA 92704

Ph: (714) 549-1409		Grigory Rozenovich, DDS
3620 S. Bristol St. Suite 210,
Santa Ana, CA 92704

Ph: (714) 549-1409

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.