Kosha Shah, DDS in Port Hueneme, CA - Medicare Dentist Provider

Kosha Shah, DDS is a medicare enrolled "Dentist" provider in Port Hueneme, California. Her current practice location is 521 W Channel Islands Blvd Ste 8, Port Hueneme, California. You can reach out to her office (for appointments etc.) via phone at (805) 815-4356.

Kosha Shah is licensed to practice in California (license number 49804) 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 1669503397.

Contact Information

	Kosha Shah, DDS
	521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041-2132
	(805) 815-4356
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kosha Shah
Gender	Female
Speciality	Dentist
Location	521 W Channel Islands Blvd Ste 8, Port Hueneme, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669503397
Provider Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6406150994
Enrollment ID: I20160203001332

Medical Identifiers

Medical identifiers for Kosha Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669503397	NPI	-	NPPES
D49804	Other	CA	DENTI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	49804 (California)	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. Kosha Shah 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
Kosha Shah, DDS 521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041-2132 Ph: (805) 815-4356	Kosha Shah, DDS 521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041-2132 Ph: (805) 815-4356

Reviews and Comments

Dentist in Port Hueneme, CA

Dr. Gustavo Ariel Assatourians, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2601 N Ventura Rd, Port Hueneme, CA 93041 Phone: 805-985-6966
Rutu Jignesh Shah, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041 Phone: 805-815-4356
Dr. Gyutae Jin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 162 1st St Bldg 1402, Port Hueneme, CA 93043 Phone: 805-982-6342
Dr. David Kenneth White, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 162 1st St, Port Hueneme, CA 93043 Phone: 805-982-6370 Fax: 805-982-1133
Dr. Martha Plagge Rabkin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 720 23rd Ave Bldg 914, Port Hueneme, CA 93043 Phone: 760-719-3236
Dr. Paul Insik Lim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 720 23rd Ave, Bldg 914, Port Hueneme, CA 93043 Phone: 805-982-5584
Tri Duc Duong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 329 E Hueneme Rd, Port Hueneme, CA 93041 Phone: 805-488-0603 Fax: 805-488-1942

Kosha Shah, DDS - Medicare Dentist in Port Hueneme, CA