Mr Mauricio Fonrodona, DDS in Reseda, CA - Medicare Dentist Provider

Mr Mauricio Fonrodona, DDS is a medicare enrolled "Dentist - General Practice" provider in Reseda, California. His current practice location is 6650 Reseda Blvd, Ste 112, Reseda, California. You can reach out to his office (for appointments etc.) via phone at (818) 609-7525.

Mr Mauricio Fonrodona is licensed to practice in California (license number 49314) 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 1194822197.

Contact Information

	Mr Mauricio Fonrodona, DDS
	6650 Reseda Blvd, Ste 112, Reseda, CA 91335-5340
	(818) 609-7525
	(818) 609-7569

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mauricio Fonrodona
Gender	Male
Speciality	Dentist - General Practice
Location	6650 Reseda Blvd, Reseda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194822197
Provider Enumeration Date: 09/20/2006
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 3678941366
Enrollment ID: I20221130003284

Medical Identifiers

Medical identifiers for Mr Mauricio Fonrodona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194822197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	49314 (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. Mr Mauricio Fonrodona allows following entities to bill medicare on his behalf.

Entity Name	Vahik Meserkhani Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316497126 PECOS PAC ID: 8820370901 Enrollment ID: O20170125001462

Entity Name	V Paul Meserkhani Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316425804 PECOS PAC ID: 0244629137 Enrollment ID: O20211115002690

Entity Name	Alejandro Echeverry Dds & Mauricio Fonrodona Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285893792 PECOS PAC ID: 2769850452 Enrollment ID: O20221130003248

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. Mr Mauricio Fonrodona 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
Mr Mauricio Fonrodona, DDS 6650 Reseda Blvd, Ste 112, Reseda, CA 91335-5340 Ph: (818) 609-7525	Mr Mauricio Fonrodona, DDS 6650 Reseda Blvd, Ste 112, Reseda, CA 91335-5340 Ph: (818) 609-7525

Reviews and Comments

Dentist in Reseda, CA

Paul Dorel Zau, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6857 Reseda Blvd, Suite A, Reseda, CA 91335 Phone: 818-343-9000
Michelle Shahisaman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7941 Etiwanda Ave, Reseda, CA 91335 Phone: 818-422-4310
Inna Kagan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 17720 Sherman Way, Reseda, CA 91335 Phone: 818-705-0111 Fax: 818-705-2281
Dr. Helen Shokri Torabzadeh, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 18437 Saticoy Street, # 3, Reseda, CA 91335 Phone: 818-705-4025 Fax: 818-705-4026
Dr. Grisel Del Cueto, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 18440 Sherman Way, Reseda, CA 91335 Phone: 818-774-9709 Fax: 818-827-3086
Mr. Arnulfo Molina, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 17756 Saticoy St, Reseda, CA 91335 Phone: 818-705-4700 Fax: 818-705-1681
Dr. Linda S Kapgan, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 19301 Saticoy St Ste D, Reseda, CA 91335 Phone: 818-772-4222 Fax: 818-772-1530

Mr Mauricio Fonrodona, DDS - Medicare Dentist in Reseda, CA