Edward Rothman, DDS in Oakland, CA - Medicare Dentist Provider

Edward Rothman, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Oakland, California. His current practice location is 747 Fifty Second Street, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 428-3316.

Edward Rothman is licensed to practice in California (license number DDSS40188) 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 1114020302.

Contact Information

	Edward Rothman, DDS
	747 Fifty Second Street, Oakland, CA 94609
	(510) 428-3316
	(510) 450-5806

Healthcare Provider's Profile

Full Name	Edward Rothman
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	747 Fifty Second Street, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114020302
Provider Enumeration Date: 09/06/2006
Last Update Date: 03/07/2012

Medicare PECOS Information:

PECOS PAC ID: 0749414225
Enrollment ID: I20131016001702

Medical Identifiers

Medical identifiers for Edward Rothman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114020302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	DDSS40188 (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. Edward Rothman 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
Edward Rothman, DDS 1515 Fruitvale Ave, Oakland, CA 94601 Ph: (510) 535-4000	Edward Rothman, DDS 747 Fifty Second Street, Oakland, CA 94609 Ph: (510) 428-3316

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Dentist in Oakland, CA

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Dr. Geraldine Abrera Lim, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4174 Park Blvd, Oakland, CA 94602 Phone: 510-530-7000 Fax: 510-530-7077
Faezeh Sadeghi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3050 E 16th Street, Oakland, CA 94601 Phone: 510-535-4700 Fax: 510-535-4283
David B. Poor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Mr. Hyung Kwon Ko, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 41st St Apt 613, Oakland, CA 94611 Phone: 510-409-4603
Dr. Diana C. Fong, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 345 9th St, Suite 304, Oakland, CA 94607 Phone: 510-270-0967 Fax: 510-272-0969

Edward Rothman, DDS - Medicare Dentist in Oakland, CA