Sina Banankhah, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Farmington, Connecticut. His current practice location is
263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 679-2000.
Sina Banankhah is licensed to practice in * (Not Available) (license number ) 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 1437685781.
Healthcare Provider's Profile
Full Name | Sina Banankhah |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 263 Farmington Ave, Farmington, Connecticut |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437685781
- Provider Enumeration Date: 05/05/2017
- Last Update Date: 06/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294006151
- Enrollment ID: I20170810002449
Medical Identifiers
Medical identifiers for Sina Banankhah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437685781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DDS104655 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Sina Banankhah 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 |
Sina Banankhah, 130 S Mentor Ave Unit 201, Pasadena, CA 91106-2943 Ph: (323) 287-7837 | Sina Banankhah, 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-2000 |
Reviews and Comments