Keyvan Tavakoli, DDS - Medicare Dentist in Lutz, FL

Keyvan Tavakoli, DDS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Lutz, Florida. His current practice location is 18964 N Dale Mabry Hwy Ste 103, Lutz, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 591-1568.

Keyvan Tavakoli is licensed to practice in Florida (license number 22487) 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 1285987206.

Contact Information

Keyvan Tavakoli, DDS
18964 N Dale Mabry Hwy Ste 103,
Lutz, FL 33548-4913
(813) 591-1568
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKeyvan Tavakoli
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location18964 N Dale Mabry Hwy Ste 103, Lutz, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285987206
  • Provider Enumeration Date: 10/16/2012
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426322611
  • Enrollment ID: I20170927001520

Medical Identifiers

Medical identifiers for Keyvan Tavakoli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285987206NPI-NPPES
056001MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 056001 (New York)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 100032 (California)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 32856 (Texas)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 10615 (North Carolina)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 22487 (Florida)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. Keyvan Tavakoli 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
Keyvan Tavakoli, DDS
18964 N Dale Mabry Hwy Ste 103,
Lutz, FL 33548-4913

Ph: (813) 591-1568
Keyvan Tavakoli, DDS
18964 N Dale Mabry Hwy Ste 103,
Lutz, FL 33548-4913

Ph: (813) 591-1568

Reviews and Comments


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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.

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