Pravin R Desai, DDS in Bell, CA - Medicare Dentist Provider

Pravin R Desai, DDS is a medicare enrolled "Dentist" provider in Bell, California. His current practice location is 4127 Gage Ave, Bell, California. You can reach out to his office (for appointments etc.) via phone at (323) 773-2931.

Pravin R Desai is licensed to practice in California (license number 28537) 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 1215355300.

Contact Information

	Pravin R Desai, DDS
	4127 Gage Ave, Bell, CA 90201-1128
	(323) 773-2931
	(323) 773-2933

Healthcare Provider's Profile

Full Name	Pravin R Desai
Gender	Male
Speciality	Dentist
Location	4127 Gage Ave, Bell, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215355300
Provider Enumeration Date: 04/04/2014
Last Update Date: 04/04/2014

Medicare PECOS Information:

PECOS PAC ID: 0042517138
Enrollment ID: I20160405001644

Medical Identifiers

Medical identifiers for Pravin R Desai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215355300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	28537 (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. Pravin R Desai 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
Pravin R Desai, DDS 4127 Gage Ave, Bell, CA 90201-1128 Ph: (323) 773-2931	Pravin R Desai, DDS 4127 Gage Ave, Bell, CA 90201-1128 Ph: (323) 773-2931

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Young Jo Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6383 Atlantic Ave, Bell, CA 90201 Phone: 323-562-1301
Dr. Dina Rose Mejia, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4127 Gage Ave, Bell, CA 90201 Phone: 213-949-2725
Wilson Kenneth Leung, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6901 South Atlantic Avenue, Bell, CA 90201 Phone: 323-562-9222 Fax: 323-562-9209
Mr. Farhad Lalezarzadeh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3559 E. Gage Ave., Bell, CA 90201 Phone: 323-923-3710 Fax: 323-923-3709

Pravin R Desai, DDS - Medicare Dentist in Bell, CA