Dr Amir Ebrahim Kazim, DDS in Long Beach, CA - Medicare Dentist Provider

Dr Amir Ebrahim Kazim, DDS is a medicare enrolled "Dentist" provider in Long Beach, California. His current practice location is 250 W Ocean Blvd Apt 1606, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (301) 335-1249.

Dr Amir Ebrahim Kazim is licensed to practice in California (license number 100077) 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 1063882504.

Contact Information

	Dr Amir Ebrahim Kazim, DDS
	250 W Ocean Blvd Apt 1606, Long Beach, CA 90802-7945
	(301) 335-1249
	Not Available

Healthcare Provider's Profile

Full Name	Dr Amir Ebrahim Kazim
Gender	Male
Speciality	Dentist
Location	250 W Ocean Blvd Apt 1606, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063882504
Provider Enumeration Date: 09/27/2015
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0547521569
Enrollment ID: I20180307001242

Medical Identifiers

Medical identifiers for Dr Amir Ebrahim Kazim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063882504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE60587475 (Washington)	Secondary
122300000X	Dentist	100077 (California)	Primary

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 Amir Ebrahim Kazim 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 Amir Ebrahim Kazim, DDS 250 W Ocean Blvd Apt 1606, Long Beach, CA 90802-7945 Ph: (301) 335-1249	Dr Amir Ebrahim Kazim, DDS 250 W Ocean Blvd Apt 1606, Long Beach, CA 90802-7945 Ph: (301) 335-1249

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Dr Amir Ebrahim Kazim, DDS - Medicare Dentist in Long Beach, CA