Surabhi Pancholi, DDS in Saint Paul, MN - Medicare Dentist Provider

Surabhi Pancholi, DDS is a medicare enrolled "Dentist" provider in Saint Paul, Minnesota. Her current practice location is 2500 Como Ave, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 647-2525.

Surabhi Pancholi is licensed to practice in Minnesota (license number D14504) 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 1992208276.

Contact Information

	Surabhi Pancholi, DDS
	2500 Como Ave, Saint Paul, MN 55108-1460
	(651) 647-2525
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Surabhi Pancholi
Gender	Female
Speciality	Dentist
Location	2500 Como Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992208276
Provider Enumeration Date: 03/13/2018
Last Update Date: 04/14/2021

Medicare PECOS Information:

PECOS PAC ID: 5991052201
Enrollment ID: I20210427001523

Medical Identifiers

Medical identifiers for Surabhi Pancholi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992208276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12013100A (Indiana)	Secondary
122300000X	Dentist	10397 (Kentucky)	Secondary
122300000X	Dentist	D14504 (Minnesota)	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. Surabhi Pancholi allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Surabhi Pancholi 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
Surabhi Pancholi, DDS 401 1st Ave Ne Unit 961, Minneapolis, MN 55413-3171 Ph: (614) 634-3521	Surabhi Pancholi, DDS 2500 Como Ave, Saint Paul, MN 55108-1460 Ph: (651) 647-2525

Reviews and Comments

Dentist in Saint Paul, MN

Dr. Julie C Haman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1514 White Bear Ave N, Saint Paul, MN 55106 Phone: 651-774-0311 Fax: 651-776-3286
Dr. Charles H. Mendes, Dentist Medicare: Medicare Enrolled Practice Location: 550 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-699-0404 Fax: 651-699-9034
Joseph Paul Trowbridge, DDS Dentist Medicare: Medicare Enrolled Practice Location: 30 7th St E, Suite101, Saint Paul, MN 55101 Phone: 651-227-6646 Fax: 651-227-6523
Dr. Minerva C Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 555 Wabasha St N Ste 250, Saint Paul, MN 55102 Phone: 651-292-9331
Dr. Jake Samuel Kalkstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Ste 300, Saint Paul, MN 55104 Phone: 651-254-7373
Munira Yusuf, Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Ste 300, Saint Paul, MN 55104 Phone: 651-254-7373
Freeman Newton Rosenblum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 Main St, Suite 400, Saint Paul, MN 55102 Phone: 651-224-4969 Fax: 651-223-8047

Surabhi Pancholi, DDS - Medicare Dentist in Saint Paul, MN