Kosha Shah, DDS - Medicare Dentist in Port Hueneme, CA

Kosha Shah, DDS is a medicare enrolled "Dentist" provider in Port Hueneme, California. Her current practice location is 521 W Channel Islands Blvd Ste 8, Port Hueneme, California. You can reach out to her office (for appointments etc.) via phone at (805) 815-4356.

Kosha Shah is licensed to practice in California (license number 49804) 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 1669503397.

Contact Information

Kosha Shah, DDS
521 W Channel Islands Blvd Ste 8,
Port Hueneme, CA 93041-2132
(805) 815-4356
Not Available



Healthcare Provider's Profile

Full NameKosha Shah
GenderFemale
SpecialityDentist
Location521 W Channel Islands Blvd Ste 8, Port Hueneme, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669503397
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6406150994
  • Enrollment ID: I20160203001332

Medical Identifiers

Medical identifiers for Kosha Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669503397NPI-NPPES
D49804OtherCADENTI-CAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 49804 (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. Kosha Shah 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
Kosha Shah, DDS
521 W Channel Islands Blvd Ste 8,
Port Hueneme, CA 93041-2132

Ph: (805) 815-4356
Kosha Shah, DDS
521 W Channel Islands Blvd Ste 8,
Port Hueneme, CA 93041-2132

Ph: (805) 815-4356

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› Verified 4 days ago


Dentist in Port Hueneme, CA

Dr. Gustavo Ariel Assatourians, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2601 N Ventura Rd, Port Hueneme, CA 93041
Phone: 805-985-6966    
Rutu Jignesh Shah, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 521 W Channel Islands Blvd Ste 8, Port Hueneme, CA 93041
Phone: 805-815-4356    
Dr. David Kenneth White, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 162 1st St, Port Hueneme, CA 93043
Phone: 805-982-6370    Fax: 805-982-1133
Dr. Paul Insik Lim, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 720 23rd Ave, Bldg 914, Port Hueneme, CA 93043
Phone: 805-982-5584    
Tri Duc Duong, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 329 E Hueneme Rd, Port Hueneme, CA 93041
Phone: 805-488-0603    Fax: 805-488-1942
Ramin Moravveji, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 305 E Port Hueneme Rd, Port Hueneme, CA 93041
Phone: 805-488-1112    Fax: 805-488-0800

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