Shanshan Ji, DDS in Milpitas, CA - Medicare Dentist Provider

Shanshan Ji, DDS is a medicare enrolled "Dentist" provider in Milpitas, California. Her current practice location is 995 Montague Expy Ste. 113, Milpitas, California. You can reach out to her office (for appointments etc.) via phone at (408) 935-9555.

Shanshan Ji is licensed to practice in California (license number 62805) 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 1598192668.

Contact Information

	Shanshan Ji, DDS
	995 Montague Expy Ste. 113, Milpitas, CA 95035
	(408) 935-9555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shanshan Ji
Gender	Female
Speciality	Dentist
Location	995 Montague Expy Ste. 113, Milpitas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598192668
Provider Enumeration Date: 10/03/2013
Last Update Date: 10/03/2013

Medicare PECOS Information:

PECOS PAC ID: 6305297896
Enrollment ID: I20240109003017

Medical Identifiers

Medical identifiers for Shanshan Ji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598192668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	62805 (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. Shanshan Ji allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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. Shanshan Ji 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
Shanshan Ji, DDS 825 Monty Circle, Santa Clara, CA 95050 Ph: (408) 386-4332	Shanshan Ji, DDS 995 Montague Expy Ste. 113, Milpitas, CA 95035 Ph: (408) 935-9555

Reviews and Comments

Dentist in Milpitas, CA

Dr. Timothy Thoai Nguyen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 991 Montague Expy Ste 102, Milpitas, CA 95035 Phone: 408-946-6666 Fax: 408-935-8805
Dr. Milagros Lingat Taberna, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 282 S Main St, Milpitas, CA 95035 Phone: 408-946-4815 Fax: 408-946-3249
Roddy Miller, DDS Dentist Medicare: Medicare Enrolled Practice Location: 142 Ranch Dr, Milpitas, CA 95035 Phone: 408-262-4434 Fax: 408-945-7631
Emily Cheng, Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 N Park Victoria Dr Ste B, Milpitas, CA 95035 Phone: 408-586-9663
Dr. Suruchi Laxman Warwatkar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 470 E Calaveras Blvd, Milpitas, CA 95035 Phone: 408-636-2937
Dr. Manjula Jaishankar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1295 S Park Victoria Dr, Milpitas, CA 95035 Phone: 408-945-0411
Stanley P Chin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 E Calaveras Blvd, Milpitas, CA 95035 Phone: 408-263-5252 Fax: 408-263-8579

Shanshan Ji, DDS - Medicare Dentist in Milpitas, CA