Dr Rishi Tejas Dholakia, DO, MPH is a medicare enrolled "Surgery" physician in Winslow, Arizona. Her current practice location is
500 Indiana Ave, Winslow, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 289-4646.
Dr Rishi Tejas Dholakia is licensed to practice in Arizona (license number 008337) 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 1083807184.
Physician's Profile
| Full Name | Dr Rishi Tejas Dholakia |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 500 Indiana Ave, Winslow, Arizona |
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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: 1083807184
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 05/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577715192
- Enrollment ID: I20140326001775
Medical Identifiers
Medical identifiers for Dr Rishi Tejas Dholakia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083807184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 295701 (New York) | Secondary |
| 208600000X | Surgery | DO179438 (Oregon) | Secondary |
| 208600000X | Surgery | P 6376 (Texas) | Secondary |
| 208600000X | Surgery | 20A 11963 (California) | Secondary |
| 208600000X | Surgery | 008337 (Arizona) | 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. Dr Rishi Tejas Dholakia allows following entities to bill medicare on her behalf.
| Entity Name | Winslow Indian Health Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184729493 PECOS PAC ID: 4284548991 Enrollment ID: O20031117000864 |
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| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
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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 Rishi Tejas Dholakia 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 Rishi Tejas Dholakia, DO, MPH 500 Indiana Ave, Winslow, AZ 86047-2169 Ph: (928) 289-4646 | Dr Rishi Tejas Dholakia, DO, MPH 500 Indiana Ave, Winslow, AZ 86047-2169 Ph: (928) 289-4646 |
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