Kayvan Fathimani, DDS in Lone Tree, CO - Medicare Dentist Provider

Kayvan Fathimani, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Lone Tree, Colorado. His current practice location is 10535 Park Meadows Blvd Ste 250, Lone Tree, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 381-7101.

Kayvan Fathimani is licensed to practice in Colorado (license number DEN.00204716) 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 1396040127.

Contact Information

	Kayvan Fathimani, DDS
	10535 Park Meadows Blvd Ste 250, Lone Tree, CO 80124-8401
	(303) 381-7101
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kayvan Fathimani
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	10535 Park Meadows Blvd Ste 250, Lone Tree, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396040127
Provider Enumeration Date: 01/26/2011
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4789995739
Enrollment ID: I20150618000175

Medical Identifiers

Medical identifiers for Kayvan Fathimani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396040127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	056659 (New York)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DEN.00204716 (Colorado)	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. Kayvan Fathimani allows following entities to bill medicare on his behalf.

Entity Name	Downtown Bronx Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016

Entity Name	Dental Specialty Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275592693 PECOS PAC ID: 6608184015 Enrollment ID: O20151005002970

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. Kayvan Fathimani 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
Kayvan Fathimani, DDS 10535 Park Meadows Blvd Ste 250, Lone Tree, CO 80124-8401 Ph: (303) 381-7101	Kayvan Fathimani, DDS 10535 Park Meadows Blvd Ste 250, Lone Tree, CO 80124-8401 Ph: (303) 381-7101

Reviews and Comments

Dentist in Lone Tree, CO

Holly Baller, DDS Dentist Medicare: Medicare Enrolled Practice Location: 9400 Station St, Lone Tree, CO 80124 Phone: 303-690-0400
Dr. Grace Elizabeth Rudersdorf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10000 Commons St, Lone Tree, CO 80124 Phone: 303-790-8080 Fax: 303-790-0679
Dr. Michael Shawn Lawler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9896 Rosemont Ave, Ste. 103, Lone Tree, CO 80124 Phone: 303-705-5700 Fax: 303-705-9729
Dr. Christopher J Baer, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9695 S Yosemite St Ste 327, Lone Tree, CO 80124 Phone: 303-557-6453 Fax: 303-557-6452
Dr. Paul A. Hamersky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9227 East Lincoln Ave., Suite #100, Lone Tree, CO 80124 Phone: 720-344-2662 Fax: 720-344-2663
Mr. Brooks Barefoot, Dentist Medicare: Not Enrolled in Medicare Practice Location: 10450 Park Meadows Dr Ste 300, Lone Tree, CO 80124 Phone: 303-779-0565
James Lee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7430 Park Meadows Dr Ste 100, Lone Tree, CO 80124 Phone: 303-997-3834

Kayvan Fathimani, DDS - Medicare Dentist in Lone Tree, CO