Dr Navid Rashidi Keikanloo, DDS - Medicare Dentist in Syracuse, NY

Dr Navid Rashidi Keikanloo, DDS is a medicare enrolled "Dentist - Periodontics" provider in Syracuse, New York. His current practice location is 2800 Court St, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 455-5934.

Dr Navid Rashidi Keikanloo is licensed to practice in Michigan (license number 2901021662) 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 1053655472.

Contact Information

Dr Navid Rashidi Keikanloo, DDS
2800 Court St,
Syracuse, NY 13208
(315) 455-5934
(315) 455-5935



Healthcare Provider's Profile

Full NameDr Navid Rashidi Keikanloo
GenderMale
SpecialityDentist - Periodontics
Location2800 Court St, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053655472
  • Provider Enumeration Date: 11/26/2012
  • Last Update Date: 09/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5698072858
  • Enrollment ID: I20160404000024

Medical Identifiers

Medical identifiers for Dr Navid Rashidi Keikanloo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053655472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 2901021662 (Michigan)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 Navid Rashidi Keikanloo 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 Navid Rashidi Keikanloo, DDS
2800 Court St,
Syracuse, NY 13208-3216

Ph: (316) 992-8973
Dr Navid Rashidi Keikanloo, DDS
2800 Court St,
Syracuse, NY 13208

Ph: (315) 455-5934

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Dentist in Syracuse, NY

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