Dr Ali Dawlatly, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" physician in La Jolla, California. His current practice location is
9888 Genesee Ave, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at
(858) 834-1798.
Dr Ali Dawlatly is licensed to practice in Texas (license number S9868) 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 1679918288.
Physician's Profile
Full Name | Dr Ali Dawlatly |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 9888 Genesee Ave, La Jolla, 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: 1679918288
- Provider Enumeration Date: 05/09/2013
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416185632
- Enrollment ID: I20230518001243
Medical Identifiers
Medical identifiers for Dr Ali Dawlatly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679918288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | S9868 (Texas) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | S9868 (Texas) | 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. Dr Ali Dawlatly 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. Dr Ali Dawlatly 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 |
Dr Ali Dawlatly, MD, DDS 9888 Genesee Ave, La Jolla, CA 92037-1205 Ph: () - | Dr Ali Dawlatly, MD, DDS 9888 Genesee Ave, La Jolla, CA 92037-1205 Ph: (858) 834-1798 |
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