Priyadarshini Agrawal, in North Bend, OR - Medicare Dentist Provider

Priyadarshini Agrawal, is a medicare enrolled "Dentist" provider in North Bend, Oregon. Her current practice location is 1890 Waite St Ste 1, North Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 756-6232.

Priyadarshini Agrawal is licensed to practice in Oregon (license number D11822) 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 1912354689.

Contact Information

	Priyadarshini Agrawal,
	1890 Waite St Ste 1, North Bend, OR 97459-1229
	(541) 756-6232
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Priyadarshini Agrawal
Gender	Female
Speciality	Dentist
Location	1890 Waite St Ste 1, North Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912354689
Provider Enumeration Date: 05/23/2016
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7113343740
Enrollment ID: I20200813001600

Medical Identifiers

Medical identifiers for Priyadarshini Agrawal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912354689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D00150 (California)	Secondary
122300000X	Dentist	D11822 (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. Priyadarshini Agrawal allows following entities to bill medicare on her behalf.

Entity Name	Healthright 360
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760427843 PECOS PAC ID: 3678674025 Enrollment ID: O20070730000160

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. Priyadarshini Agrawal 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
Priyadarshini Agrawal, 1668 Langport Dr, Sunnyvale, CA 94087-4677 Ph: (650) 669-4462	Priyadarshini Agrawal, 1890 Waite St Ste 1, North Bend, OR 97459-1229 Ph: (541) 756-6232

Reviews and Comments

Dentist in North Bend, OR

Loran Edward Ong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2070 Virginia Ave, North Bend, OR 97459 Phone: 541-756-0155
R. Scott Roberts, DDS PC Dentist Medicare: Accepting Medicare Assignments Practice Location: 3500 Cedar St, North Bend, OR 97459 Phone: 541-756-0558 Fax: 541-756-1974
Dr. Roger M French, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1885 Waite St, North Bend, OR 97459 Phone: 541-756-1117 Fax: 541-756-3811
Ngoctran Danielle Hoang, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2070 Virginia Ave, North Bend, OR 97459 Phone: 541-756-7568
Jae Eun Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1860 Virginia Ave, #8, North Bend, OR 97459 Phone: 541-756-7568 Fax: 541-756-0760
Craig Austin Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2070 Virginia Ave, North Bend, OR 97459 Phone: 541-756-0155
Dr. John Craig Stephenson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2901 Broadway, North Bend, OR 97459 Phone: 541-756-3181 Fax: 541-756-5838

Priyadarshini Agrawal, - Medicare Dentist in North Bend, OR