Sava Estanboliah, is a medicare enrolled "Dentist - General Practice" provider in St Lucie West, Florida. Her current practice location is
466 Sw Port St Lucie Blvd Ste 117, St Lucie West, Florida. You can reach out to her office (for appointments etc.) via phone at
(772) 785-9515.
Sava Estanboliah is licensed to practice in Florida (license number 23707) 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 1235512526.
Healthcare Provider's Profile
Full Name | Sava Estanboliah |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 466 Sw Port St Lucie Blvd Ste 117, St Lucie West, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235512526
- Provider Enumeration Date: 07/04/2015
- Last Update Date: 10/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 8527314863
- Enrollment ID: I20211027003382
Medical Identifiers
Medical identifiers for Sava Estanboliah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235512526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 23707 (Florida) | 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. Sava Estanboliah allows following entities to bill medicare on her behalf.
Entity Name | Genesis Community Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447578125 PECOS PAC ID: 7012033384 Enrollment ID: O20110112000690 |
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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. Sava Estanboliah 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 |
Sava Estanboliah, 466 Sw Port St Lucie Blvd Ste 117, St Lucie West, FL 34953-2091 Ph: (772) 785-9515 | Sava Estanboliah, 466 Sw Port St Lucie Blvd Ste 117, St Lucie West, FL 34953-2091 Ph: (772) 785-9515 |
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