Dr Pavithra Shetty Thankachen, DDS in Corona Del Mar, CA - Medicare Dentist Provider

Dr Pavithra Shetty Thankachen, DDS is a medicare enrolled "Dentist - General Practice" provider in Corona Del Mar, California. Her current practice location is 2131 East Coast Hwy Suite 220, Corona Del Mar, California. You can reach out to her office (for appointments etc.) via phone at (949) 644-1001.

Dr Pavithra Shetty Thankachen is licensed to practice in California (license number 51522) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720196173.

Contact Information

	Dr Pavithra Shetty Thankachen, DDS
	2131 East Coast Hwy Suite 220, Corona Del Mar, CA 92625-3421
	(949) 644-1001
	Not Available

Healthcare Provider's Profile

Full Name	Dr Pavithra Shetty Thankachen
Gender	Female
Speciality	Dentist - General Practice
Location	2131 East Coast Hwy Suite 220, Corona Del Mar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720196173
Provider Enumeration Date: 08/27/2006
Last Update Date: 03/03/2020

Medicare PECOS Information:

PECOS PAC ID: 6103133889
Enrollment ID: I20150911002366

Medical Identifiers

Medical identifiers for Dr Pavithra Shetty Thankachen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720196173	NPI	-	NPPES
51522	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	51522 (California)	Secondary
1223G0001X	Dentist - General Practice	0518561 (New York)	Secondary
1223G0001X	Dentist - General Practice	51522 (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 Pavithra Shetty Thankachen 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 Pavithra Shetty Thankachen, DDS 2131 East Coast Hwy Suite 220, Corona Del Mar, CA 92625-3421 Ph: (949) 644-1001	Dr Pavithra Shetty Thankachen, DDS 2131 East Coast Hwy Suite 220, Corona Del Mar, CA 92625-3421 Ph: (949) 644-1001

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Dentist in Corona Del Mar, CA

Dr. George W Brazeal, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2345 E Coast Hwy, Suite B, Corona Del Mar, CA 92625 Phone: 949-673-6443
Dr. Cole Younger, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Coast Hwy Ste 160, Corona Del Mar, CA 92625 Phone: 949-688-2050
Svetlana Zhuravkova, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 401 Seaward Rd, #5, Corona Del Mar, CA 92625 Phone: 310-993-3742
Dr. Jacqueline Younesi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Coast Hwy Ste 230, Corona Del Mar, CA 92625 Phone: 949-246-2028
Azin Rashidi, Dentist Medicare: Medicare Enrolled Practice Location: 4607 Fairfield Dr, Corona Del Mar, CA 92625 Phone: 310-993-0135
Dr. Micah Crowley, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 505 1/2 Carnation Ave, Corona Del Mar, CA 92625 Phone: 406-459-6140
Dr. Brett Christopher Brazeal, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2345 E Coast Hwy Ste B, Corona Del Mar, CA 92625 Phone: 949-673-6443 Fax: 949-673-6447

Dr Pavithra Shetty Thankachen, DDS - Medicare Dentist in Corona Del Mar, CA