Dr Nikita Feliksovich Kazak, DDS - Medicare Dentist in San Anselmo, CA

Dr Nikita Feliksovich Kazak, DDS is a medicare enrolled "Dentist" provider in San Anselmo, California. His current practice location is 915 Sir Francis Drake Blvd Ste 1, San Anselmo, California. You can reach out to his office (for appointments etc.) via phone at (415) 454-5667.

Dr Nikita Feliksovich Kazak is licensed to practice in California (license number DDS102575) 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 1891272399.

Contact Information

Dr Nikita Feliksovich Kazak, DDS
915 Sir Francis Drake Blvd Ste 1,
San Anselmo, CA 94960-1946
(415) 454-5667
Not Available



Healthcare Provider's Profile

Full NameDr Nikita Feliksovich Kazak
GenderMale
SpecialityDentist
Location915 Sir Francis Drake Blvd Ste 1, San Anselmo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891272399
  • Provider Enumeration Date: 07/26/2018
  • Last Update Date: 01/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133472376
  • Enrollment ID: I20181105002871

Medical Identifiers

Medical identifiers for Dr Nikita Feliksovich Kazak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891272399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DDS102575 (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 Nikita Feliksovich Kazak 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 Nikita Feliksovich Kazak, DDS
1325 44th Ave,
San Francisco, CA 94122-1104

Ph: (415) 652-9916
Dr Nikita Feliksovich Kazak, DDS
915 Sir Francis Drake Blvd Ste 1,
San Anselmo, CA 94960-1946

Ph: (415) 454-5667

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› Verified 6 days ago


Dentist in San Anselmo, CA

Dr. John Thomas Smith, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 915 Sir Francis Drake Blvd, San Anselmo, CA 94960
Phone: 415-453-1666    Fax: 415-454-7790
Dr. Vera Renee Polintan Meyer, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 891 Sir Francis Drake Blvd, San Anselmo, CA 94960
Phone: 415-456-2273    Fax: 415-456-2273
Dr. Noah Chris Dehlinger, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 160 Sir Francis Drake Blvd., San Anselmo, CA 94960
Phone: 415-457-9242    Fax: 415-453-2131
Dr. Anthony G Costella, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Sir Francis Drake Blvd, San Anselmo, CA 94960
Phone: 415-453-0642    Fax: 415-459-6392
Dr. Liza Fartash, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 899 Sir Francis Drake Blvd, San Anselmo, CA 94960
Phone: 415-482-9808    
Dr. Fatameh Niloufar Nadershahi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 122 Tunstead Ave, San Anselmo, CA 94960
Phone: 415-459-0114    Fax: 415-459-2717
Dr. Eric V Haney, DDS, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 122 Tunstead Ave, San Anselmo, CA 94960
Phone: 415-453-7880    Fax: 415-453-0602

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