Dr Ali Dawlatly, MD, DDS - Medicare Oral & Maxillofacial Surgery in La Jolla, CA

Dr Ali Dawlatly, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" physician in La Jolla, California. His current practice location is 9888 Genesee Ave, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at (858) 834-1798.

Dr Ali Dawlatly is licensed to practice in Texas (license number S9868) 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 1679918288.

Contact Information

Dr Ali Dawlatly, MD, DDS
9888 Genesee Ave,
La Jolla, CA 92037-1205
(858) 834-1798
Not Available



Physician's Profile

Full NameDr Ali Dawlatly
GenderMale
SpecialityOral & Maxillofacial Surgery
Location9888 Genesee Ave, La Jolla, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679918288
  • Provider Enumeration Date: 05/09/2013
  • Last Update Date: 02/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416185632
  • Enrollment ID: I20230518001243

Medical Identifiers

Medical identifiers for Dr Ali Dawlatly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679918288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery S9868 (Texas)Secondary
204E00000XOral & Maxillofacial Surgery S9868 (Texas)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. Dr Ali Dawlatly allows following entities to bill medicare on his behalf.
Entity NameEmergency And Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734

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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. Dr Ali Dawlatly 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
Dr Ali Dawlatly, MD, DDS
9888 Genesee Ave,
La Jolla, CA 92037-1205

Ph: () -
Dr Ali Dawlatly, MD, DDS
9888 Genesee Ave,
La Jolla, CA 92037-1205

Ph: (858) 834-1798

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