Rita Evazyan, in Culver City, CA - Medicare Dentist Provider

Rita Evazyan, is a medicare enrolled "Dentist" provider in Culver City, California. Her current practice location is 4700 Inglewood Blvd Ste 102, Culver City, California. You can reach out to her office (for appointments etc.) via phone at (310) 392-8636.

Rita Evazyan is licensed to practice in California (license number 43949) 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 1568662617.

Contact Information

	Rita Evazyan,
	4700 Inglewood Blvd Ste 102, Culver City, CA 90230-5896
	(310) 392-8636
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rita Evazyan
Gender	Female
Speciality	Dentist
Location	4700 Inglewood Blvd Ste 102, Culver City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568662617
Provider Enumeration Date: 07/18/2007
Last Update Date: 02/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8224570858
Enrollment ID: I20240611000290

Medical Identifiers

Medical identifiers for Rita Evazyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568662617	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	43949 (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. Rita Evazyan allows following entities to bill medicare on her behalf.

Entity Name	Venice Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082

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. Rita Evazyan 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
Rita Evazyan, 4700 Inglewood Blvd Ste 102, Culver City, CA 90230-5896 Ph: (310) 392-8636	Rita Evazyan, 4700 Inglewood Blvd Ste 102, Culver City, CA 90230-5896 Ph: (310) 392-8636

Reviews and Comments

Dentist in Culver City, CA

Dr. Delano Hankins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6101 W Centinela Ave Ste 280, Culver City, CA 90230 Phone: 424-362-5801
Gary Wirtschafter, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3855 Hughes Ave, Suite 201, Culver City, CA 90232 Phone: 310-839-8033 Fax: 310-839-8035
Dr. John Peter Korbakis, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 5555 Inglewood Blvd, Suite 102, Culver City, CA 90230 Phone: 310-823-8595 Fax: 310-823-8595
Shawn Rad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5432 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-3565 Fax: 310-398-5525
Dalit Yadegaran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6101 W Centinela Ave Ste 375, Culver City, CA 90230 Phone: 310-929-7200
Cristiana Ferrari, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5859 Uplander Way, Culver City, CA 90230 Phone: 310-642-5999 Fax: 310-642-2358
Dr. Kevin T Mcnally, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6804 S Centinela Ave, Culver City, CA 90230 Phone: 310-915-0588 Fax: 310-915-0547

Rita Evazyan, - Medicare Dentist in Culver City, CA