Ms Pichak Kelk, DDS in Orange, CA - Medicare Dentist Provider

Ms Pichak Kelk, DDS is a medicare enrolled "Dentist" provider in Orange, California. Her current practice location is 1111 Town & Country Rd., Suite 46, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 835-4441.

Ms Pichak Kelk is licensed to practice in California (license number 43450) 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 1972603421.

Contact Information

	Ms Pichak Kelk, DDS
	1111 Town & Country Rd., Suite 46, Orange, CA 92868
	(714) 835-4441
	(714) 835-0188

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Pichak Kelk
Gender	Female
Speciality	Dentist
Location	1111 Town & Country Rd., Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972603421
Provider Enumeration Date: 09/25/2006
Last Update Date: 11/06/2012

Medicare PECOS Information:

PECOS PAC ID: 4284947284
Enrollment ID: I20190103002455

Medical Identifiers

Medical identifiers for Ms Pichak Kelk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972603421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	43450 (California)	Secondary
122300000X	Dentist	43450 (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. Ms Pichak Kelk allows following entities to bill medicare on her behalf.

Entity Name	Sina Eftekharzadeh Dds Prof Dental Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659724508 PECOS PAC ID: 6709130297 Enrollment ID: O20181120001505

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. Ms Pichak Kelk 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
Ms Pichak Kelk, DDS 1111 Town & Country Rd., Suite 46, Orange, CA 92868 Ph: (714) 835-4441	Ms Pichak Kelk, DDS 1111 Town & Country Rd., Suite 46, Orange, CA 92868 Ph: (714) 835-4441

Reviews and Comments

Dentist in Orange, CA

Dr. Steven D Ogaz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4122 E Chapman Ave Ste 1, Orange, CA 92869 Phone: 714-639-9171 Fax: 714-639-2096
Noor Khedraki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Orange, CA 92868 Phone: 714-571-3682
Omar Alnofi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 179 N Tustin St, Orange, CA 92867 Phone: 714-260-7970
Dr. Gerald M Turk, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1122 E Lincoln Ave Ste 208, Orange, CA 92865 Phone: 714-921-2110 Fax: 714-974-0442
Dr. Scott M Nishizaka, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 E Katella Ave, Suite A, Orange, CA 92867 Phone: 714-538-2811 Fax: 714-538-5911
Dr. Louis James Amendola, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Orange, CA 92868 Phone: 714-571-3603
Dr. Kazu Takaki, Dentist Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Orange, CA 92868 Phone: 714-480-3000 Fax: 714-571-3560

Ms Pichak Kelk, DDS - Medicare Dentist in Orange, CA