Dr Khodayar Khatiblou, in Costa Mesa, CA - Medicare Chiropractor Provider

Dr Khodayar Khatiblou, is a medicare enrolled "Chiropractor" provider in Costa Mesa, California. His current practice location is 2900 Bristol St Ste J103, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at (949) 742-2087.

Dr Khodayar Khatiblou is licensed to practice in California (license number 34573) 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 1598315244.

Contact Information

	Dr Khodayar Khatiblou,
	2900 Bristol St Ste J103, Costa Mesa, CA 92626-7918
	(949) 742-2087
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Khodayar Khatiblou
Gender	Male
Speciality	Chiropractor
Location	2900 Bristol St Ste J103, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598315244
Provider Enumeration Date: 09/15/2019
Last Update Date: 04/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1355725250
Enrollment ID: I20220825004002

Medical Identifiers

Medical identifiers for Dr Khodayar Khatiblou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598315244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	34573 (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. Dr Khodayar Khatiblou allows following entities to bill medicare on his behalf.

Provider Name	Khatiblou Chiropractic Corp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972257152 PECOS PAC ID: 1456735356 Enrollment ID: O20220825003944

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 Khodayar Khatiblou 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 Khodayar Khatiblou, 2900 Bristol St Ste J103, Costa Mesa, CA 92626-7918 Ph: (949) 742-2087	Dr Khodayar Khatiblou, 2900 Bristol St Ste J103, Costa Mesa, CA 92626-7918 Ph: (949) 742-2087

Reviews and Comments

Chiropractor in Costa Mesa, CA

Complete Spine And Wellness Group, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 1640 Newport Blvd Ste 220, Costa Mesa, CA 92627 Phone: 949-650-4362 Fax: 949-650-4366
Steven Mitchell Feingold, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2900 Bristol St, C105, Costa Mesa, CA 92626 Phone: 714-557-9454
Tommy Knox Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2013 Newport Blvd, Costa Mesa, CA 92627 Phone: 949-631-5664
Core Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 3070 Bristol St, Ste 160, Costa Mesa, CA 92626 Phone: 949-662-1616 Fax: 714-486-2834
Fanai Chiropractic & Wellness Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St Ste 2a, Costa Mesa, CA 92627 Phone: 949-329-2373 Fax: 949-329-2373
Mr. Alan Craig Ivar, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1650 Adams Ave, Costa Mesa, CA 92626 Phone: 714-662-2711 Fax: 714-662-3502
Health Atlast Costa Mesa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1835 Newport Blvd, Suite D251, Costa Mesa, CA 92627 Phone: 949-515-4006 Fax: 949-515-4036

Dr Khodayar Khatiblou, - Medicare Chiropractor in Costa Mesa, CA