Unknown Anjali, DDS - Medicare Dentist in Fresno, CA

Unknown Anjali, DDS is a medicare enrolled "Dentist" provider in Fresno, California. Her current practice location is 2756 S Elm Ave, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 457-5345.

Unknown Anjali is licensed to practice in California (license number 107209) 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 1134889611.

Contact Information

Unknown Anjali, DDS
2756 S Elm Ave,
Fresno, CA 93706-5435
(559) 457-5345
(559) 457-5395



Healthcare Provider's Profile

Full NameUnknown Anjali
GenderFemale
SpecialityDentist
Location2756 S Elm Ave, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134889611
  • Provider Enumeration Date: 12/23/2021
  • Last Update Date: 10/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749663755
  • Enrollment ID: I20231021000733

Medical Identifiers

Medical identifiers for Unknown Anjali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134889611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 107209 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Unknown Anjali allows following entities to bill medicare on her behalf.
Entity NameClinica Sierra Vista
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740439314
PECOS PAC ID: 3870407505
Enrollment ID: O20090304000620

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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. Unknown Anjali 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
Unknown Anjali, DDS
2756 S Elm Ave,
Fresno, CA 93706-5435

Ph: (559) 457-5345
Unknown Anjali, DDS
2756 S Elm Ave,
Fresno, CA 93706-5435

Ph: (559) 457-5345

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Dentist in Fresno, CA

Rahul Deepak Golani, BDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4646 N 1st St, Fresno, CA 93726
Phone: 800-300-6664    
Dr. Gregory Miyake, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 7234 N Sequoia Ave, Fresno, CA 93711
Phone: 559-246-4195    Fax: 559-447-1813
Dr. Albert Pomerantz, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4820 N 1st St Ste 101, Fresno, CA 93726
Phone: 559-226-6681    Fax: 559-226-6806
Mr. Paramjit S Sandhu, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2509 E Cole Ave, Fresno, CA 93720
Phone: 559-323-7120    
Dr. Quincy Izabela Sofowora, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4901 E Kings Canyon Rd, Fresno, CA 93727
Phone: 866-592-8129    
Saadia A Rana, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6687 N Blackstone Ave Ste 101, Fresno, CA 93710
Phone: 559-439-5231    
Dr. Aye K. Ko, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1409 N Fresno St, Fresno, CA 93703
Phone: 559-264-4543    Fax: 559-264-0226

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