Leo Choti, in Tigard, OR - Medicare Dentist Provider

Leo Choti, is a medicare enrolled "Dentist - General Practice" provider in Tigard, Oregon. His current practice location is 15885 Sw 116th Ave, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 639-5025.

Leo Choti is licensed to practice in Oregon (license number D11413) 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 1477166676.

Contact Information

	Leo Choti,
	15885 Sw 116th Ave, Tigard, OR 97224-2647
	(503) 639-5025
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leo Choti
Gender	Male
Speciality	Dentist - General Practice
Location	15885 Sw 116th Ave, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477166676
Provider Enumeration Date: 08/26/2020
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 5597171298
Enrollment ID: I20210303003463

Medical Identifiers

Medical identifiers for Leo Choti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477166676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D11413 (Oregon)	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. Leo Choti allows following entities to bill medicare on his behalf.

Entity Name	Momani Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215329487 PECOS PAC ID: 8325395932 Enrollment ID: O20180726003162

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. Leo Choti 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
Leo Choti, 1010 Se 11th Ave Apt 402, Portland, OR 97214-2575 Ph: (530) 605-9175	Leo Choti, 15885 Sw 116th Ave, Tigard, OR 97224-2647 Ph: (503) 639-5025

Reviews and Comments

Dentist in Tigard, OR

Dr. Dean Roy Gretzinger, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7095 Sw Gonzaga St, Tigard, OR 97223 Phone: 855-433-6825
Elizabeth My Anh Phan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 9900 Sw Greenburg Rd Ste 240, Tigard, OR 97223 Phone: 971-206-7133 Fax: 541-516-4047
Dr. Shahin Rashidi, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9225 Sw Hall Blvd, Suite E, Tigard, OR 97223 Phone: 503-620-7134 Fax: 503-620-7184
Dr. Richard Whipple, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 11525 Sw Durham Rd, Tigard, OR 97224 Phone: 503-620-6133 Fax: 503-620-1275
Dr. Ryan J Leclaire, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7105 Sw Hampton St, Tigard, OR 97223 Phone: 503-286-6868
Ms. Parisa Sepehri, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8930 Sw Hall Blvd., Ste 1, Tigard, OR 97223 Phone: 503-574-4000 Fax: 503-626-6300
Christopher R Sierk, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11565 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-620-6606 Fax: 503-624-6382

Leo Choti, - Medicare Dentist in Tigard, OR