Unknown Anjali, DDS in Fresno, CA - Medicare Dentist Provider

Unknown Anjali, DDS is a medicare enrolled "Dentist" provider in Fresno, California. Her current practice location is 2756 S Elm Ave, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 457-5345.

Unknown Anjali is licensed to practice in California (license number 107209) 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 1134889611.

Contact Information

	Unknown Anjali, DDS
	2756 S Elm Ave, Fresno, CA 93706-5435
	(559) 457-5345
	(559) 457-5395

Map and Direction

Healthcare Provider's Profile

Full Name	Unknown Anjali
Gender	Female
Speciality	Dentist
Location	2756 S Elm Ave, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134889611
Provider Enumeration Date: 12/23/2021
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 0749663755
Enrollment ID: I20231021000733

Medical Identifiers

Medical identifiers for Unknown Anjali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134889611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	107209 (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. Unknown Anjali allows following entities to bill medicare on her behalf.

Entity Name	Clinica Sierra Vista
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740439314 PECOS PAC ID: 3870407505 Enrollment ID: O20090304000620

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. Unknown Anjali 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
Unknown Anjali, DDS 2756 S Elm Ave, Fresno, CA 93706-5435 Ph: (559) 457-5345	Unknown Anjali, DDS 2756 S Elm Ave, Fresno, CA 93706-5435 Ph: (559) 457-5345

Reviews and Comments

Dentist in Fresno, CA

Rahul Deepak Golani, BDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4646 N 1st St, Fresno, CA 93726 Phone: 800-300-6664
Dr. Gregory Miyake, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7234 N Sequoia Ave, Fresno, CA 93711 Phone: 559-246-4195 Fax: 559-447-1813
Dr. Albert Pomerantz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4820 N 1st St Ste 101, Fresno, CA 93726 Phone: 559-226-6681 Fax: 559-226-6806
Mr. Paramjit S Sandhu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2509 E Cole Ave, Fresno, CA 93720 Phone: 559-323-7120
Dr. Quincy Izabela Sofowora, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4901 E Kings Canyon Rd, Fresno, CA 93727 Phone: 866-592-8129
Saadia A Rana, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6687 N Blackstone Ave Ste 101, Fresno, CA 93710 Phone: 559-439-5231
Dr. Aye K. Ko, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1409 N Fresno St, Fresno, CA 93703 Phone: 559-264-4543 Fax: 559-264-0226

Unknown Anjali, DDS - Medicare Dentist in Fresno, CA