Pouya Ansari, DMD in Chino Hills, CA - Medicare Dentist Provider

Pouya Ansari, DMD is a medicare enrolled "Dentist - General Practice" provider in Chino Hills, California. His current practice location is 15850 Soquel Canyon Pkwy Ste A, Chino Hills, California. You can reach out to his office (for appointments etc.) via phone at (909) 375-0133.

Pouya Ansari is licensed to practice in California (license number 107837) 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 1891413274.

Contact Information

	Pouya Ansari, DMD
	15850 Soquel Canyon Pkwy Ste A, Chino Hills, CA 91709-5874
	(909) 375-0133
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pouya Ansari
Gender	Male
Speciality	Dentist - General Practice
Location	15850 Soquel Canyon Pkwy Ste A, Chino Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891413274
Provider Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 2769853308
Enrollment ID: I20230424000483

Medical Identifiers

Medical identifiers for Pouya Ansari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891413274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	107837 (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. Pouya Ansari allows following entities to bill medicare on his behalf.

Entity Name	Universal Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093023277 PECOS PAC ID: 0547449399 Enrollment ID: O20110125000952

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. Pouya Ansari 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
Pouya Ansari, DMD 729 W Spruce St, Ontario, CA 91762-6310 Ph: (951) 403-3061	Pouya Ansari, DMD 15850 Soquel Canyon Pkwy Ste A, Chino Hills, CA 91709-5874 Ph: (909) 375-0133

Reviews and Comments

Dentist in Chino Hills, CA

Alexander Santos X, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4183 Chino Hills Pkwy Ste H, Chino Hills, CA 91709 Phone: 909-393-5300
Rupporn Priyawat, Dentist Medicare: Medicare Enrolled Practice Location: 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709 Phone: 909-497-9449
Dr. Dillon Pingchuen Yap, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14270 Chino Hills Pkwy, Chino Hills, CA 91709 Phone: 909-590-2229
Maria Kim, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709 Phone: 909-497-9449
Sung W Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15870 Soquel Canyon Pkwy Ste I, Chino Hills, CA 91709 Phone: 909-393-1388 Fax: 909-393-7588
Danny Cho, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4200 Chino Hills Pkwy Ste 880, Chino Hills, CA 91709 Phone: 909-393-5456
Dr. Jeffrey Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4200 Chino Hills Pkwy Ste 880, Chino Hills, CA 91709 Phone: 909-393-5456

Pouya Ansari, DMD - Medicare Dentist in Chino Hills, CA