Robert Ferdowsmakan, MD, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in San Diego, California. His current practice location is
4765 Carmel Mountain Rd Ste 105, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(858) 481-8248.
Robert Ferdowsmakan is licensed to practice in California (license number A94751) 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 1255482527.
Healthcare Provider's Profile
Full Name | Robert Ferdowsmakan |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 4765 Carmel Mountain Rd Ste 105, San Diego, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255482527
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022196229
- Enrollment ID: I20171219003673
Medical Identifiers
Medical identifiers for Robert Ferdowsmakan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255482527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 49312 (California) | Primary |
204E00000X | Oral & Maxillofacial Surgery | A94751 (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. Robert Ferdowsmakan allows following entities to bill medicare on his behalf.
Entity Name | Emergency And Acute Care Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
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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. Robert Ferdowsmakan 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 |
Robert Ferdowsmakan, MD, DMD 4765 Carmel Mountain Rd Ste 105, San Diego, CA 92130-6657 Ph: (858) 481-8248 | Robert Ferdowsmakan, MD, DMD 4765 Carmel Mountain Rd Ste 105, San Diego, CA 92130-6657 Ph: (858) 481-8248 |
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