Dr Hessam S Eftekhari, DO is a medicare enrolled "Anesthesiology - Pain Medicine" physician in San Juan Capistrano, California. His current practice location is
31371 Rancho Viejo Rd Ste 104, San Juan Capistrano, California. You can reach out to his office (for appointments etc.) via phone at
(949) 565-0444.
Dr Hessam S Eftekhari is licensed to practice in California (license number 20A9311) 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 1649280272.
Physician's Profile
| Full Name | Dr Hessam S Eftekhari |
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| Gender | Male |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 31371 Rancho Viejo Rd Ste 104, San Juan Capistrano, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649280272
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 04/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 7113925652
- Enrollment ID: I20070816000951
Medical Identifiers
Medical identifiers for Dr Hessam S Eftekhari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649280272 | NPI | - | NPPES |
| 00AX93110 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 20A9311 (California) | Secondary |
| 208U00000X | Clinical Pharmacology | 20A9311 (California) | Secondary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 20A9311 (California) | Secondary |
| 207LA0401X | Anesthesiology - Addiction Medicine | 20A9311 (California) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 20A9311 (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. Dr Hessam S Eftekhari allows following entities to bill medicare on his behalf.
| Entity Name | Allied Anesthesia Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346267267
PECOS PAC ID: 6103728407
Enrollment ID: O20040126001001 |
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| Entity Name | City Of Hope Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871886366
PECOS PAC ID: 3779751656
Enrollment ID: O20110720000244 |
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| Entity Name | Cep America - Anesthesia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790401438
PECOS PAC ID: 3678897915
Enrollment ID: O20150115001110 |
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| Entity Name | Sound Physicians Anesthesiology Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699408229
PECOS PAC ID: 4385027770
Enrollment ID: O20220817003296 |
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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 Hessam S Eftekhari 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 Hessam S Eftekhari, DO
31371 Rancho Viejo Rd Ste 104,
San Juan Capistrano, CA 92675-1848
Ph: (949) 565-0444 | Dr Hessam S Eftekhari, DO
31371 Rancho Viejo Rd Ste 104,
San Juan Capistrano, CA 92675-1848
Ph: (949) 565-0444 |
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