Dr Bita Bagheri, MD is a medicare enrolled "Dermatology" physician in Garden Grove, California. She went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1998 and has 26 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice K.alexander Dastgheib M.d. Inc and her current practice location is
12665 Garden Grove Blvd Ste 301, Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at
(714) 636-6282.
Dr Bita Bagheri is licensed to practice in California (license number G86148) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467493163.
Physician's Profile
| Full Name | Dr Bita Bagheri |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 26 Years |
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| Location | 12665 Garden Grove Blvd Ste 301, Garden Grove, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bita Bagheri attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1998
NPI Data:
- NPI Number: 1467493163
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 12/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 1456348135
- Enrollment ID: I20070927000463
Medical Identifiers
Medical identifiers for Dr Bita Bagheri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467493163 | NPI | - | NPPES |
| 1730180415 | Other | CA | GROUP PTAN |
| G86148 | Other | CA | MEDICAL LICENSE |
| P00216382 | Other | PA | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | MD423494 (Pennsylvania) | Secondary |
| 207N00000X | Dermatology | G86148 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| K.alexander Dastgheib M.d. Inc | 1254466808 | 2 |
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. Dr Bita Bagheri allows following entities to bill medicare on her behalf.
| Entity Name | K.alexander Dastgheib M.d. Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922205202
PECOS PAC ID: 1254466808
Enrollment ID: O20100322000117 |
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| Entity Name | Pure Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912246570
PECOS PAC ID: 7416192323
Enrollment ID: O20130326000129 |
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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. Dr Bita Bagheri 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 |
|---|
Dr Bita Bagheri, MD
12665 Garden Grove Blvd Ste 301,
Garden Grove, CA 92843-1917
Ph: (714) 636-6282 | Dr Bita Bagheri, MD
12665 Garden Grove Blvd Ste 301,
Garden Grove, CA 92843-1917
Ph: (714) 636-6282 |
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