Dr Salar Ebrahimi, DDS is a medicare enrolled "Dentist - General Practice" provider in Leesbury, Virginia. His current practice location is
430 Harrison St Se, Leesbury, Virginia. You can reach out to his office (for appointments etc.) via phone at
(571) 510-3034.
Dr Salar Ebrahimi is licensed to practice in Virginia (license number 0401416563) 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 1669936381.
Healthcare Provider's Profile
Full Name | Dr Salar Ebrahimi |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 430 Harrison St Se, Leesbury, Virginia |
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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: 1669936381
- Provider Enumeration Date: 01/27/2019
- Last Update Date: 01/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466816665
- Enrollment ID: I20230906002888
Medical Identifiers
Medical identifiers for Dr Salar Ebrahimi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669936381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 0401416563 (Virginia) | Primary |
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 Salar Ebrahimi 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 Salar Ebrahimi, DDS 430 Harrison St Se, Leesbury, VA 20175 Ph: (571) 510-3034 | Dr Salar Ebrahimi, DDS 430 Harrison St Se, Leesbury, VA 20175 Ph: (571) 510-3034 |
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