Dr Jaleh Tina Keyhani, DDS in Phoenix, AZ - Medicare Dentist Provider

Dr Jaleh Tina Keyhani, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Phoenix, Arizona. Her current practice location is 3150 N 7th St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 277-3919.

Dr Jaleh Tina Keyhani is licensed to practice in Arizona (license number D5160) 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 1043214448.

Contact Information

	Dr Jaleh Tina Keyhani, DDS
	3150 N 7th St, Phoenix, AZ 85014-5403
	(602) 277-3919
	(602) 926-2216

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jaleh Tina Keyhani
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3150 N 7th St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043214448
Provider Enumeration Date: 06/13/2005
Last Update Date: 01/30/2020

Medicare PECOS Information:

PECOS PAC ID: 6608203732
Enrollment ID: I20200229000110

Medical Identifiers

Medical identifiers for Dr Jaleh Tina Keyhani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043214448	NPI	-	NPPES
529604	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D5160 (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 Jaleh Tina Keyhani allows following entities to bill medicare on her behalf.

Entity Name	Mahr Elder Dds Md P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215128988 PECOS PAC ID: 1456663566 Enrollment ID: O20150702000501

Entity Name	M Elder D D S A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760633341 PECOS PAC ID: 7810290350 Enrollment ID: O20160907001070

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 Jaleh Tina Keyhani 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 Jaleh Tina Keyhani, DDS 8350 E Sutton Dr, Scottsdale, AZ 85260-4929 Ph: (602) 318-6795	Dr Jaleh Tina Keyhani, DDS 3150 N 7th St, Phoenix, AZ 85014-5403 Ph: (602) 277-3919

Reviews and Comments

Dentist in Phoenix, AZ

Dr. Bogdan Michael Kulikowski, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 15215 S 48th Street, Suite #158, Phoenix, AZ 85044 Phone: 480-598-3006 Fax: 480-598-1184
Lonnie Chris Eckman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7725 N 43rd Ave Ste No711, Phoenix, AZ 85051 Phone: 623-931-8898 Fax: 623-930-1182
Thuy B Ngo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4550 E. Bell Rd., #102, Phoenix, AZ 85032 Phone: 602-485-1588 Fax: 602-707-9740
Dr. Jeremy John Liddiard, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 12005 N Tatum Blvd, Suite 105, Phoenix, AZ 85028 Phone: 602-971-0026
Dr. Amanda Rafi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 267 E Bell Rd Ste 3, Phoenix, AZ 85022 Phone: 602-993-6000
Jessica Lynne Giles, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6601 W Thomas Rd, Phoenix, AZ 85033 Phone: 602-243-7277 Fax: 623-247-9742
Aaron Sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3540 W Camelback Rd, Phoenix, AZ 85019 Phone: 602-427-4070

Dr Jaleh Tina Keyhani, DDS - Medicare Dentist in Phoenix, AZ