Jack H Koumjian, DDS in Palo Alto, CA - Medicare Dentist Provider

Jack H Koumjian, DDS is a medicare enrolled "Dentist - Prosthodontics" provider in Palo Alto, California. His current practice location is 770 Welch Rd, Ste 280, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (650) 347-3426.

Jack H Koumjian is licensed to practice in California (license number 327301) 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 1073629390.

Contact Information

	Jack H Koumjian, DDS
	770 Welch Rd, Ste 280, Palo Alto, CA 94304-1513
	(650) 347-3426
	(650) 324-0103

Healthcare Provider's Profile

Full Name	Jack H Koumjian
Gender	Male
Speciality	Dentist - Prosthodontics
Location	770 Welch Rd, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073629390
Provider Enumeration Date: 08/21/2006
Last Update Date: 12/20/2007

Medicare PECOS Information:

PECOS PAC ID: 9638337611
Enrollment ID: I20120222000269

Medical Identifiers

Medical identifiers for Jack H Koumjian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073629390	NPI	-	NPPES
1073629390	Other	CA	DENTICAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	327301 (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. Jack H Koumjian 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
Jack H Koumjian, DDS 770 Welch Rd, Ste 280, Palo Alto, CA 94304-1513 Ph: (650) 347-3426	Jack H Koumjian, DDS 770 Welch Rd, Ste 280, Palo Alto, CA 94304-1513 Ph: (650) 347-3426

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Dr. Branimir Vatavuk, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 655 Homer Ave, Palo Alto, CA 94301 Phone: 650-328-7333
Dr. Elaine M. Cabreza, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2421 Park Blvd, Suite A204, Palo Alto, CA 94306 Phone: 650-328-1580 Fax: 650-328-0775
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Andrew Au, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2345 Yale St, 2nd Floor, Palo Alto, CA 94306 Phone: 650-328-3388 Fax: 650-351-6498
Dr. Perfecto Notariod, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 655 Homer Ave, Palo Alto, CA 94301 Phone: 650-321-7747
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Dr. Robert Iverson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 511 Byron St, Palo Alto, CA 94301 Phone: 650-323-1381

Jack H Koumjian, DDS - Medicare Dentist in Palo Alto, CA