Dr Jeffrey Michael Kotsubo, DDS - Medicare Dentist in Santa Monica, CA

Dr Jeffrey Michael Kotsubo, DDS is a medicare enrolled "Dentist - Endodontics" provider in Santa Monica, California. His current practice location is 1304 15th St, Suite #318, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 458-6677.

Dr Jeffrey Michael Kotsubo is licensed to practice in California (license number 38439) 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 1184834442.

Contact Information

Dr Jeffrey Michael Kotsubo, DDS
1304 15th St, Suite #318,
Santa Monica, CA 90404-1809
(310) 458-6677
Not Available



Healthcare Provider's Profile

Full NameDr Jeffrey Michael Kotsubo
GenderMale
SpecialityDentist - Endodontics
Location1304 15th St, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184834442
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1759672512
  • Enrollment ID: I20160624001818

Medical Identifiers

Medical identifiers for Dr Jeffrey Michael Kotsubo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184834442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 38439 (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 Jeffrey Michael Kotsubo 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 AddressPractice Location Address
Dr Jeffrey Michael Kotsubo, DDS
1304 15th St, Suite #318,
Santa Monica, CA 90404-1809

Ph: (310) 458-6677
Dr Jeffrey Michael Kotsubo, DDS
1304 15th St, Suite #318,
Santa Monica, CA 90404-1809

Ph: (310) 458-6677

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Dentist in Santa Monica, CA

Dr. Jelson Jonathan Yalung, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 912 17th St, Santa Monica, CA 90403
Phone: 310-439-8321    
Dr. Mani Morshed, D.M.D, D.D.S
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Medicare: Not Enrolled in Medicare
Practice Location: 1244 7th St, Suite 202, Santa Monica, CA 90401
Phone: 310-393-9664    Fax: 310-458-3399
Dr. Shahin Issac Bina, DDS
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Practice Location: 819 Princeton St, Santa Monica, CA 90403
Phone: 310-963-6322    
Shantel Noghrey Ramin, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2903 Delaware Ave, Santa Monica, CA 90404
Phone: 818-468-8155    
Linda Beth Chen, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 1304 15th St, Suite 311, Santa Monica, CA 90404
Phone: 310-656-8880    
Bella Doshi,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2021 Santa Monica Blvd, Suite 500e, Santa Monica, CA 90404
Phone: 310-828-3522    Fax: 310-828-3422
Dr. Ana Brightleaf, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1304 15th St, Suite 209, Santa Monica, CA 90404
Phone: 310-395-1810    Fax: 310-395-1035

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