Babak Roshdieh, MD is a medicare enrolled "Dermatology" physician in Corona, California. He went to Stanford University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Pacific Dermatology Institute, J Robert West Md Inc and his current practice location is
770 Magnolia Ave, Suite 2g, Corona, California. You can reach out to his office (for appointments etc.) via phone at
(951) 734-6500.
Babak Roshdieh is licensed to practice in California (license number A76333) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275589723.
Physician's Profile
| Full Name | Babak Roshdieh |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 28 Years |
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| Location | 770 Magnolia Ave, Corona, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Babak Roshdieh attended and graduated from Stanford University School Of Medicine in 1996
NPI Data:
- NPI Number: 1275589723
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 11/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 0345132650
- Enrollment ID: I20040331001427
Medical Identifiers
Medical identifiers for Babak Roshdieh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275589723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | A76333 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pacific Dermatology Institute | 2062546260 | 27 |
| J Robert West Md Inc | 8729990973 | 131 |
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. Babak Roshdieh allows following entities to bill medicare on his behalf.
| Entity Name | J Robert West Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932154788
PECOS PAC ID: 8729990973
Enrollment ID: O20031105000239 |
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| Entity Name | Pacific Dermatology Institute |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740410182
PECOS PAC ID: 2062546260
Enrollment ID: O20100810000288 |
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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. Babak Roshdieh 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 |
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Babak Roshdieh, MD
770 Magnolia Ave, Suite 2g,
Corona, CA 92879-3120
Ph: (951) 734-6500 | Babak Roshdieh, MD
770 Magnolia Ave, Suite 2g,
Corona, CA 92879-3120
Ph: (951) 734-6500 |
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