Dr Lia Datikashvili, DDS - Medicare Dentist in Bronx, NY

Dr Lia Datikashvili, DDS is a medicare enrolled "Dentist" provider in Bronx, New York. Her current practice location is 293 E 149th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (646) 404-5005.

Dr Lia Datikashvili is licensed to practice in New York (license number 055422-1) 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 1780977926.

Contact Information

Dr Lia Datikashvili, DDS
293 E 149th St,
Bronx, NY 10451-5601
(646) 404-5005
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Lia Datikashvili
GenderFemale
SpecialityDentist
Location293 E 149th St, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780977926
  • Provider Enumeration Date: 05/20/2011
  • Last Update Date: 05/20/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1254613623
  • Enrollment ID: I20170119000635

Medical Identifiers

Medical identifiers for Dr Lia Datikashvili such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780977926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 055422-1 (New York)Primary
122300000XDentist 22DI02125000 (New Jersey)Secondary

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 Lia Datikashvili 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 AddressPractice Location Address
Dr Lia Datikashvili, DDS
293 E 149th St,
Bronx, NY 10451-5601

Ph: (646) 404-5005
Dr Lia Datikashvili, DDS
293 E 149th St,
Bronx, NY 10451-5601

Ph: (646) 404-5005

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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