John Cohen, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Lennox, California. His current practice location is
10823 Hawthorne Blvd Ste A, Lennox, California. You can reach out to his office (for appointments etc.) via phone at
(818) 786-6000.
John Cohen is licensed to practice in California (license number 40423) 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 1154492379.
Healthcare Provider's Profile
| Full Name | John Cohen |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 10823 Hawthorne Blvd Ste A, Lennox, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154492379
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143648881
- Enrollment ID: I20201008000780
Medical Identifiers
Medical identifiers for John Cohen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154492379 | NPI | - | NPPES |
| B40423-01 | Other | CA | DENTICAL PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 40423 (California) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 40423 (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. John Cohen allows following entities to bill medicare on his behalf.
| Entity Name | John Cohen Dds Dental Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366686214
PECOS PAC ID: 0042644940
Enrollment ID: O20201008000707 |
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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. John Cohen 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 |
|---|
John Cohen, DDS
10823 Hawthorne Blvd Ste A,
Lennox, CA 90304-4322
Ph: (818) 786-6000 | John Cohen, DDS
10823 Hawthorne Blvd Ste A,
Lennox, CA 90304-4322
Ph: (818) 786-6000 |
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