Dr Walied Eldomiaty, DDS in Lake Oswego, OR

Dr Walied Eldomiaty, DDS is a medicare enrolled "Dentist" provider in Lake Oswego, Oregon. His current practice location is 4055 Mercantile Dr Apt 374, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (202) 285-8313.

Dr Walied Eldomiaty is licensed to practice in Kentucky (license number 9897) 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 1881256766.

Contact Information

	Dr Walied Eldomiaty, DDS
	4055 Mercantile Dr Apt 374, Lake Oswego, OR 97035-2633
	(202) 285-8313
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Walied Eldomiaty
Gender	Male
Speciality	Dentist
Location	4055 Mercantile Dr Apt 374, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881256766
Provider Enumeration Date: 07/01/2019
Last Update Date: 04/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2365772035
Enrollment ID: I20190923001698

Medical Identifiers

Medical identifiers for Dr Walied Eldomiaty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881256766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	9897 (Kentucky)	Primary
1223P0300X	Dentist - Periodontics	D11696 (Oregon)	Secondary

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 Walied Eldomiaty allows following entities to bill medicare on his behalf.

Entity Name	University Of Kentucky
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072

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 Walied Eldomiaty 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 Walied Eldomiaty, DDS 4055 Mercantile Dr Apt 374, Lake Oswego, OR 97035-2633 Ph: (202) 285-8313	Dr Walied Eldomiaty, DDS 4055 Mercantile Dr Apt 374, Lake Oswego, OR 97035-2633 Ph: (202) 285-8313

Reviews and Comments

Dentist in Lake Oswego, OR

Dr. Kari Borgen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 440 A Ave, Lake Oswego, OR 97034 Phone: 503-635-9371 Fax: 503-635-1559
Dr. Kenneth Byron Wiltbank, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 320 A Ave, Lake Oswego, OR 97034 Phone: 503-636-3383
Dr. Nicholas G Dose, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 601 1st St Ste A, Lake Oswego, OR 97034 Phone: 503-636-2525 Fax: 503-697-5999
Dr. Sarah Margaret Levison, DMD Dentist Medicare: Medicare Enrolled Practice Location: 9 Monroe Parkway, Suite 130, Lake Oswego, OR 97035 Phone: 503-699-1809
Dr. Jessica Anne Vogelsang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 1st St, Lake Oswego, OR 97034 Phone: 503-210-2310
Dr. Paul L Kimbrel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 1st St, Lake Oswego, OR 97034 Phone: 503-636-2525 Fax: 503-697-5999
Dr. Christopher D Kooning, DMD Dentist Medicare: Medicare Enrolled Practice Location: 15962 Boones Ferry Rd Ste 105, Lake Oswego, OR 97035 Phone: 503-675-4594 Fax: 503-675-3503

Dr Walied Eldomiaty, DDS - Medicare Dentist in Lake Oswego, OR