Dr Soumya Shivanna, DDS in San Jose, CA - Medicare Dentist Provider

Dr Soumya Shivanna, DDS is a medicare enrolled "Dentist - General Practice" provider in San Jose, California. Her current practice location is 1620 E.capitol Expressway, Suite C, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 223-6017.

Dr Soumya Shivanna is licensed to practice in California (license number 55657) 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 1598936676.

Contact Information

	Dr Soumya Shivanna, DDS
	1620 E.capitol Expressway, Suite C, San Jose, CA 95121
	(408) 223-6017
	(408) 223-6019

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Soumya Shivanna
Gender	Female
Speciality	Dentist - General Practice
Location	1620 E.capitol Expressway, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598936676
Provider Enumeration Date: 03/18/2008
Last Update Date: 03/31/2016

Medicare PECOS Information:

PECOS PAC ID: 4789908021
Enrollment ID: I20150115001041

Medical Identifiers

Medical identifiers for Dr Soumya Shivanna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598936676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	55657 (California)	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 Soumya Shivanna 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 Soumya Shivanna, DDS 1620 E. Capitol Expressway, Suite C, Evergreen Family Dental Group, San Jose, CA 95121 Ph: (408) 223-6017	Dr Soumya Shivanna, DDS 1620 E.capitol Expressway, Suite C, San Jose, CA 95121 Ph: (408) 223-6017

Reviews and Comments

Dentist in San Jose, CA

Nam Hoai Nguyen, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 459 S Capitol Ave, San Jose, CA 95127 Phone: 408-923-4989
Dr. Rosemary Evans, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2680 S White Road, Suite 100, San Jose, CA 95148 Phone: 408-531-9881 Fax: 408-531-9580
Dr. Huong Thi Mai Nguyen, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1657 Mckee Rd Ste 40, San Jose, CA 95116 Phone: 408-937-9229 Fax: 408-937-6169
Magdalena Azzarelli, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1660 Hillsdale Ave, 130, San Jose, CA 95124 Phone: 408-267-2550 Fax: 408-267-1411
Dr. Aparna R. Naik, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 Saratoga Ave Apt E307, San Jose, CA 95129 Phone: 408-833-7992
Dr. Arline G Guinto Macaraeg, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 125 N Jackson Ave, Suite 207, San Jose, CA 95116 Phone: 408-258-9943 Fax: 408-258-9951
Dr. Cory Timbers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 155 N Jackson Ave, Suite 202, San Jose, CA 95116 Phone: 408-251-3766

Dr Soumya Shivanna, DDS - Medicare Dentist in San Jose, CA