Pegah Mohaveri, in Loma Linda, CA - Medicare Dentist Provider

Pegah Mohaveri, is a medicare enrolled "Dentist" provider in Loma Linda, California. Her current practice location is 26058 Lugo Dr, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (949) 207-8476.

Pegah Mohaveri is licensed to practice in California (license number 62398) 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 1063850519.

Contact Information

	Pegah Mohaveri,
	26058 Lugo Dr, Loma Linda, CA 92354-6507
	(949) 207-8476
	Not Available

Healthcare Provider's Profile

Full Name	Pegah Mohaveri
Gender	Female
Speciality	Dentist
Location	26058 Lugo Dr, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063850519
Provider Enumeration Date: 06/06/2013
Last Update Date: 06/06/2013

Medicare PECOS Information:

PECOS PAC ID: 0941515027
Enrollment ID: I20150818006258

Medical Identifiers

Medical identifiers for Pegah Mohaveri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063850519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	62398 (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. Pegah Mohaveri 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
Pegah Mohaveri, 26058 Lugo Dr, Loma Linda, CA 92354-6507 Ph: (949) 207-8476	Pegah Mohaveri, 26058 Lugo Dr, Loma Linda, CA 92354-6507 Ph: (949) 207-8476

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Dentist in Loma Linda, CA

Tina Mieun Park-lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 26554 Amherst Ct, Loma Linda, CA 92354 Phone: 909-769-8077
Dr. Robert D Kiger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Dental Service 160, Loma Linda Vamc, Loma Linda, CA 92357 Phone: 909-583-6127
Dr. Gi Sun Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10935 Rincon St, Loma Linda, CA 92354 Phone: 909-967-3623
David Roquiz, Dentist Medicare: Medicare Enrolled Practice Location: 11132 Morningstar Pl, Loma Linda, CA 92354 Phone: 863-414-0752
Paul Jung, DDS MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11092 Anderson St Rm 3306, Loma Linda, CA 92350 Phone: 909-558-4671
Dr. Jeffrey Martin Henkin, DDS, MS, FICD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24860 Taylor St, Loma Linda, CA 92350 Phone: 909-558-4610 Fax: 909-558-4801
Jessica Junghwa Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11092 Anderson Street, Llu School Of Dentistry, Loma Linda, CA 95350 Phone: 909-558-4613 Fax: 909-558-4192

Pegah Mohaveri, - Medicare Dentist in Loma Linda, CA