Lidya Soraya Acevedo, in Inglewood, CA - Medicare Dentist Provider

Lidya Soraya Acevedo, is a medicare enrolled "Dentist - General Practice" provider in Inglewood, California. Her current practice location is 11976 Aviation Blvd, Inglewood, California. You can reach out to her office (for appointments etc.) via phone at (310) 643-6221.

Lidya Soraya Acevedo is licensed to practice in California (license number 55423) 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 1881873552.

Contact Information

	Lidya Soraya Acevedo,
	11976 Aviation Blvd, Inglewood, CA 90304-1001
	(310) 643-6221
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lidya Soraya Acevedo
Gender	Female
Speciality	Dentist - General Practice
Location	11976 Aviation Blvd, Inglewood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881873552
Provider Enumeration Date: 10/30/2007
Last Update Date: 10/30/2007

Medicare PECOS Information:

PECOS PAC ID: 5193150522
Enrollment ID: I20200114000113

Medical Identifiers

Medical identifiers for Lidya Soraya Acevedo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881873552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	55423 (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. Lidya Soraya Acevedo allows following entities to bill medicare on her behalf.

Entity Name	Acevedo Dental Office, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790201762 PECOS PAC ID: 3971931478 Enrollment ID: O20200317000015

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. Lidya Soraya Acevedo 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
Lidya Soraya Acevedo, 257 S Reeves Dr, Ph, Beverly Hills, CA 90212-4046 Ph: (786) 290-3652	Lidya Soraya Acevedo, 11976 Aviation Blvd, Inglewood, CA 90304-1001 Ph: (310) 643-6221

Reviews and Comments

Dentist in Inglewood, CA

Adriane Kathleen Graham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 128 N Locust St, Inglewood, CA 90301 Phone: 310-742-6088 Fax: 310-742-6456
Dr. Charles Albert Mattison, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 933 Centinela Ave, Inglewood, CA 90302 Phone: 310-677-4085 Fax: 310-677-1357
Dr. Nima Harouni, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11344 Crenshaw Blvd, Inglewood, CA 90303 Phone: 323-777-7420
Dr. Jeffrey Chia-perng Liu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3451 W Century Blvd Ste B1, Inglewood, CA 90303 Phone: 310-330-9000 Fax: 310-300-9303
Joaquin Donaldo Pacheco Uitz, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3911 W 104th St Apt 28, Inglewood, CA 90303 Phone: 424-224-3659
Dr. James Anthony Nguyen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10715 S Prairie Ave, Inglewood, CA 90303 Phone: 310-419-6463
Dhelni Tushar Bhatt, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3561 W Century Blvd, Inglewood, CA 90303 Phone: 323-483-7042

Lidya Soraya Acevedo, - Medicare Dentist in Inglewood, CA