Dr Sodabeh Etminan, DMD - Medicare Dentist in Chicago, IL

Dr Sodabeh Etminan, DMD is a medicare enrolled "Dentist - General Practice" provider in Chicago, Illinois. Her current practice location is 7131 S Jeffery Blvd Ste A, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 256-0526.

Dr Sodabeh Etminan is licensed to practice in Illinois (license number 019.027979) 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 1003047929.

Contact Information

Dr Sodabeh Etminan, DMD
7131 S Jeffery Blvd Ste A,
Chicago, IL 60649-2176
(773) 256-0526
Not Available



Healthcare Provider's Profile

Full NameDr Sodabeh Etminan
GenderFemale
SpecialityDentist - General Practice
Location7131 S Jeffery Blvd Ste A, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003047929
  • Provider Enumeration Date: 07/28/2009
  • Last Update Date: 09/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6406144856
  • Enrollment ID: I20161018001170

Medical Identifiers

Medical identifiers for Dr Sodabeh Etminan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003047929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 019.027979 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sodabeh Etminan allows following entities to bill medicare on her behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158

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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 Sodabeh Etminan 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 Sodabeh Etminan, DMD
1220 S Wood St,
Chicago, IL 60608-1202

Ph: (312) 413-1789
Dr Sodabeh Etminan, DMD
7131 S Jeffery Blvd Ste A,
Chicago, IL 60649-2176

Ph: (773) 256-0526

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Dentist in Chicago, IL

Dr. Philip E Fidel, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3236 W Fullerton Ave, Chicago, IL 60647
Phone: 773-276-0300    Fax: 773-252-5994
Bilus D Poles, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1945 W Wilson Ave, Chicago, IL 60640
Phone: 773-275-8855    
Theresa Westfallen,
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Medicare: Not Enrolled in Medicare
Practice Location: 1738 W North Ave, Chicago, IL 60622
Phone: 773-276-5566    Fax: 773-276-8780
Dr. Justine S Gasior, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6820 S Pulaski Rd, Chicago, IL 60629
Phone: 773-581-4627    Fax: 773-581-3155
Dr. William Kwok Kuen Wan, M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2262 S. Wentworth Ave, 2nd Floor, Chicago, IL 60616
Phone: 312-791-1013    Fax: 312-791-1444
Gandy S Garcia, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3915 W 26th St, Chicago, IL 60623
Phone: 773-522-2929    Fax: 773-522-2930

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