Gholamreza Rezvani, DDS in Willows, CA - Medicare Dentist Provider

Gholamreza Rezvani, DDS is a medicare enrolled "Dentist - General Practice" provider in Willows, California. His current practice location is 207 N Butte St, Willows, California. You can reach out to his office (for appointments etc.) via phone at (530) 934-4641.

Gholamreza Rezvani is licensed to practice in California (license number 0401417703) 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 1437813029.

Contact Information

	Gholamreza Rezvani, DDS
	207 N Butte St, Willows, CA 95988-2803
	(530) 934-4641
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gholamreza Rezvani
Gender	Male
Speciality	Dentist - General Practice
Location	207 N Butte St, Willows, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437813029
Provider Enumeration Date: 10/29/2021
Last Update Date: 10/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5890229140
Enrollment ID: I20241111000178

Medical Identifiers

Medical identifiers for Gholamreza Rezvani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437813029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	0401417703 (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. Gholamreza Rezvani allows following entities to bill medicare on his behalf.

Entity Name	Lake County Tribal Health Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323

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. Gholamreza Rezvani 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
Gholamreza Rezvani, DDS 900 Cross St, Woodland, CA 95695-4128 Ph: (650) 808-0855	Gholamreza Rezvani, DDS 207 N Butte St, Willows, CA 95988-2803 Ph: (530) 934-4641

Reviews and Comments

Dentist in Willows, CA

Kevin P Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-4641 Fax: 530-934-3285
Dr. Natalya Volondin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-6980
Dr. Saman Khalil Manesh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-4641
Chih-ai Lu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-9293 Fax: 530-934-2204
Dr. Douglas Robert Moss, DDS Dentist Medicare: Medicare Enrolled Practice Location: 836 W Wood St, Willows, CA 95988 Phone: 530-934-7720
Rocio Wilson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-9293
Dr. Dennis S. Thodas, DDS Dentist Medicare: Medicare Enrolled Practice Location: 302 W Walnut St, Willows, CA 95988 Phone: 530-934-7743 Fax: 530-934-5047

Gholamreza Rezvani, DDS - Medicare Dentist in Willows, CA