Mrs Roya Nematollahi, DDS in Tustin, CA - Medicare Dentist Provider

Mrs Roya Nematollahi, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Tustin, California. Her current practice location is 14122 Red Hill Ave, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 544-8338.

Mrs Roya Nematollahi is licensed to practice in California (license number 54181) 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 1780863266.

Contact Information

	Mrs Roya Nematollahi, DDS
	14122 Red Hill Ave, Tustin, CA 92780
	(714) 544-8338
	(714) 573-1062

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Roya Nematollahi
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	14122 Red Hill Ave, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780863266
Provider Enumeration Date: 10/31/2007
Last Update Date: 06/14/2018

Medicare PECOS Information:

PECOS PAC ID: 4789931940
Enrollment ID: I20180718003064

Medical Identifiers

Medical identifiers for Mrs Roya Nematollahi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780863266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	54181 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	54181 (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. Mrs Roya Nematollahi allows following entities to bill medicare on her behalf.

Entity Name	Roya Nematollahi Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326462730 PECOS PAC ID: 3870840036 Enrollment ID: O20180718003009

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. Mrs Roya Nematollahi 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
Mrs Roya Nematollahi, DDS 14122 Red Hill Ave, Tustin, CA 92780-5834 Ph: (714) 544-8338	Mrs Roya Nematollahi, DDS 14122 Red Hill Ave, Tustin, CA 92780 Ph: (714) 544-8338

Reviews and Comments

Dentist in Tustin, CA

Nathan Ducthong Vu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14001 Newport Ave Ste C, Tustin, CA 92780 Phone: 714-508-8500 Fax: 714-508-8011
Dr. Dave Hoaiphuong Nguyen, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 13400 Newport Ave Ste B, Tustin, CA 92780 Phone: 714-838-1280 Fax: 714-838-1264
Dimple Manchandia, Dentist Medicare: Not Enrolled in Medicare Practice Location: 18102 Irvine Blvd, Suite 200, Tustin, CA 92780 Phone: 714-832-7220
Dr. Victor Paul Cayabyab Valdez Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 El Camino Real, Suite B, Tustin, CA 92780 Phone: 714-669-9555 Fax: 714-669-9496
Dr. Vinit H Joshi, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3053 Edinger Ave, Tustin, CA 92780 Phone: 949-653-5609
Jae H. Kwak, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1631 Edinger Ave Ste 105, Tustin, CA 92780 Phone: 714-717-3757
Dr. Jimmy Binh-phi Tran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18102 Irvine Blvd, Tustin, CA 92780 Phone: 714-714-0818

Mrs Roya Nematollahi, DDS - Medicare Dentist in Tustin, CA