Ebrahim Mirjalili, DDS - Medicare Dentist in Buckley, WA

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Ebrahim Mirjalili, DDS is a medicare enrolled "Dentist - General Practice" provider in Buckley, Washington. His current practice location is 2120 Ryan Rd, Buckley, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 829-4920.

Ebrahim Mirjalili is licensed to practice in Washington (license number DE00007824) 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 1679650576.

Contact Information

Ebrahim Mirjalili, DDS
2120 Ryan Rd,
Buckley, WA 98321
(360) 829-4920
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEbrahim Mirjalili
GenderMale
SpecialityDentist - General Practice
Location2120 Ryan Rd, Buckley, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679650576
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 07/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2668783341
  • Enrollment ID: I20150622002099

Medical Identifiers

Medical identifiers for Ebrahim Mirjalili such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679650576NPI-NPPES
5025234MedicaidWA
0175785OtherWASTATE LABOR & INDUSTRIES
MI9110OtherWAREGENCE BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DE00007824 (Washington)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. Ebrahim Mirjalili 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
Ebrahim Mirjalili, DDS
Po Box 34703,
Seattle, WA 98124-1703

Ph: (206) 764-0112		Ebrahim Mirjalili, DDS
2120 Ryan Rd,
Buckley, WA 98321

Ph: (360) 829-4920

Reviews and Comments


Dentist in Buckley, WA

Dr. Javaid Chaudhry, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 761 Main St, Buckley, WA 98321
Phone: 206-930-6624    
Dr. James Thomas Raugust, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2120 Ryan Rd, Buckley, WA 98321
Phone: 360-829-3077    Fax: 360-829-3088

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.