Kathy Keikhan Ebrahimi, DDS in Folsom, CA - Medicare Dentist Provider

Kathy Keikhan Ebrahimi, DDS is a medicare enrolled "Dentist" provider in Folsom, California. Her current practice location is 183 Blue Ravine Rd, Folsom, California. You can reach out to her office (for appointments etc.) via phone at (916) 983-8870.

Kathy Keikhan Ebrahimi is licensed to practice in California (license number 45124) 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 1013396811.

Contact Information

	Kathy Keikhan Ebrahimi, DDS
	183 Blue Ravine Rd, Folsom, CA 95630-4704
	(916) 983-8870
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathy Keikhan Ebrahimi
Gender	Female
Speciality	Dentist
Location	183 Blue Ravine Rd, Folsom, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013396811
Provider Enumeration Date: 05/26/2015
Last Update Date: 05/27/2015

Medicare PECOS Information:

PECOS PAC ID: 3274854286
Enrollment ID: I20180927000105

Medical Identifiers

Medical identifiers for Kathy Keikhan Ebrahimi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013396811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	45124 (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. Kathy Keikhan Ebrahimi allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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. Kathy Keikhan 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
Kathy Keikhan Ebrahimi, DDS 183 Blue Ravine Rd, Folsom, CA 95630-4704 Ph: (916) 983-8870	Kathy Keikhan Ebrahimi, DDS 183 Blue Ravine Rd, Folsom, CA 95630-4704 Ph: (916) 983-8870

Reviews and Comments

Dentist in Folsom, CA

Dr. Lindsey Stephanie Chang, DMD, INC. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2465 Iron Point Rd Ste 120, Folsom, CA 95630 Phone: 916-984-9600 Fax: 916-984-9076
Dr. Mojtaba G Radi, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 309 Natoma St, Folsom, CA 95630 Phone: 916-985-3366
Dr. Hamid Reza Nasr, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1625 Creekside Dr, Suite 100, Folsom, CA 95630 Phone: 916-983-8777 Fax: 916-983-2096
Dr. Evan Michael Kania, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2465 Iron Point Rd St. 120, Folsom, CA 95630 Phone: 916-984-9600
Derrick S Tanihara, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1568 Creekside Dr, Ste 201, Folsom, CA 95630 Phone: 916-482-4853
Dr. Kelly M Crider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 785 Hana Way, Suite 204, Folsom, CA 95630 Phone: 916-817-8799

Kathy Keikhan Ebrahimi, DDS - Medicare Dentist in Folsom, CA