- Medicare Dental Clinic in Houston, TX

is a medicare enrolled dental clinic (Family Medicine) in Houston, Texas. The current practice location for is 8121 Broadway St Ste 103, Houston, Texas. For appointments, you can reach them via phone at (713) 640-2273. The mailing address for is 8121 Broadway St Ste 103, Houston, Texas and phone number is (713) 640-2273.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194263897. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (713) 640-2273.

Contact Information

8121 Broadway St Ste 103
Houston
TX 77061-1341
(713) 640-2273
(713) 640-2276

Map and Direction


Dental Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location8121 Broadway St Ste 103, Houston, Texas
Authorized Official Name and PositionMustafa Chagani (CEO)
Authorized Official Contact4696843227
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

8121 Broadway St Ste 103
Houston
TX 77061-1341

Ph: (713) 640-2273

8121 Broadway St Ste 103
Houston
TX 77061-1341

Ph: (713) 640-2273

NPI Details:

NPI Number1194263897
Provider Enumeration Date02/02/2017
Last Update Date02/10/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7113219114
Medicare Enrollment IDO20160712002497

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194263897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameAsifa Ijaz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689708729
PECOS PAC ID: 6204002009
Enrollment ID: I20111228000679
Provider NameAlondra G Gutierrez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457645806
PECOS PAC ID: 9931327301
Enrollment ID: I20141208000582
Provider NameLlewellyn B Canio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720371453
PECOS PAC ID: 2062731425
Enrollment ID: I20150506001247

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.