Dr Robert Kelleher, DDS in Folsom, CA - Medicare Dentist Provider

Dr Robert Kelleher, DDS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Folsom, California. His current practice location is 13385 Folsom Blvd, Folsom, California. You can reach out to his office (for appointments etc.) via phone at (916) 985-8420.

Dr Robert Kelleher is licensed to practice in California (license number J 28736) 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 1053513531.

Contact Information

	Dr Robert Kelleher, DDS
	13385 Folsom Blvd, Folsom, CA 95630-8004
	(916) 985-8420
	(916) 985-6109

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Robert Kelleher
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	13385 Folsom Blvd, Folsom, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053513531
Provider Enumeration Date: 06/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7618231077
Enrollment ID: I20180510002298

Medical Identifiers

Medical identifiers for Dr Robert Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053513531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	J 28736 (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 Robert Kelleher allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

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 Robert Kelleher 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 Robert Kelleher, DDS 13385 Folsom Blvd, Folsom, CA 95630-8004 Ph: (916) 985-8420	Dr Robert Kelleher, DDS 13385 Folsom Blvd, Folsom, CA 95630-8004 Ph: (916) 985-8420

Reviews and Comments

Dentist in Folsom, CA

Dr. Lindsey Stephanie Chang, DMD, INC. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2465 Iron Point Rd Ste 120, Folsom, CA 95630 Phone: 916-984-9600 Fax: 916-984-9076
Dr. Mojtaba G Radi, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 309 Natoma St, Folsom, CA 95630 Phone: 916-985-3366
Kathy Keikhan Ebrahimi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 183 Blue Ravine Rd, Folsom, CA 95630 Phone: 916-983-8870
Dr. Hamid Reza Nasr, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1625 Creekside Dr, Suite 100, Folsom, CA 95630 Phone: 916-983-8777 Fax: 916-983-2096
Dr. Evan Michael Kania, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2465 Iron Point Rd St. 120, Folsom, CA 95630 Phone: 916-984-9600
Derrick S Tanihara, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1568 Creekside Dr, Ste 201, Folsom, CA 95630 Phone: 916-482-4853
Dr. Kelly M Crider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 785 Hana Way, Suite 204, Folsom, CA 95630 Phone: 916-817-8799

Dr Robert Kelleher, DDS - Medicare Dentist in Folsom, CA