Dr Mojtaba G Radi, DDS in Folsom, CA - Medicare Dentist Provider

Dr Mojtaba G Radi, DDS is a medicare enrolled "Dentist - General Practice" provider in Folsom, California. His current practice location is 309 Natoma St, Folsom, California. You can reach out to his office (for appointments etc.) via phone at (916) 985-3366.

Dr Mojtaba G Radi is licensed to practice in California (license number 43066) 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 1013003235.

Contact Information

	Dr Mojtaba G Radi, DDS
	309 Natoma St, Folsom, CA 95630-2619
	(916) 985-3366
	Not Available

Healthcare Provider's Profile

Full Name	Dr Mojtaba G Radi
Gender	Male
Speciality	Dentist - General Practice
Location	309 Natoma St, Folsom, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013003235
Provider Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7810288099
Enrollment ID: I20160617001197

Medical Identifiers

Medical identifiers for Dr Mojtaba G Radi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013003235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	43066 (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 Mojtaba G Radi 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 Mojtaba G Radi, DDS 309 Natoma St, Folsom, CA 95630-2619 Ph: (530) 400-2118	Dr Mojtaba G Radi, DDS 309 Natoma St, Folsom, CA 95630-2619 Ph: (916) 985-3366

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Kathy Keikhan Ebrahimi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 183 Blue Ravine Rd, Folsom, CA 95630 Phone: 916-983-8870
Dr. Hamid Reza Nasr, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1625 Creekside Dr, Suite 100, Folsom, CA 95630 Phone: 916-983-8777 Fax: 916-983-2096
Dr. Evan Michael Kania, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2465 Iron Point Rd St. 120, Folsom, CA 95630 Phone: 916-984-9600
Derrick S Tanihara, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1568 Creekside Dr, Ste 201, Folsom, CA 95630 Phone: 916-482-4853
Dr. Kelly M Crider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 785 Hana Way, Suite 204, Folsom, CA 95630 Phone: 916-817-8799

Dr Mojtaba G Radi, DDS - Medicare Dentist in Folsom, CA