Dr Ali Ebrahim Mohammad, DDS in Philadelphia, PA

Dr Ali Ebrahim Mohammad, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Philadelphia, Pennsylvania. His current practice location is 1528 Walnut St Ste 200, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 999-6695.

Dr Ali Ebrahim Mohammad is licensed to practice in Pennsylvania (license number DS038201) 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 1952557852.

Contact Information

	Dr Ali Ebrahim Mohammad, DDS
	1528 Walnut St Ste 200, Philadelphia, PA 19102-3602
	(215) 999-6695
	(917) 261-3859

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ali Ebrahim Mohammad
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1528 Walnut St Ste 200, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952557852
Provider Enumeration Date: 08/11/2008
Last Update Date: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7113276452
Enrollment ID: I20231011000182

Medical Identifiers

Medical identifiers for Dr Ali Ebrahim Mohammad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952557852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DS038201 (Pennsylvania)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	22DI02723800 (New Jersey)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	10037 (Kentucky)	Secondary

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 Ebrahim Mohammad allows following entities to bill medicare on his behalf.

Entity Name	Pa Surgery Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891477162 PECOS PAC ID: 2961857917 Enrollment ID: O20231011000078

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 Ebrahim Mohammad 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
Dr Ali Ebrahim Mohammad, DDS 1528 Walnut St Ste 200, Philadelphia, PA 19102-3602 Ph: (215) 999-6695	Dr Ali Ebrahim Mohammad, DDS 1528 Walnut St Ste 200, Philadelphia, PA 19102-3602 Ph: (215) 999-6695

Reviews and Comments

Dentist in Philadelphia, PA

Mr. Kevin John Klatte, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6814 Castor Ave, Philadelphia, PA 19149 Phone: 215-745-9443 Fax: 215-745-9453
Dr. Jeffrey Marc Weiner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3254 Red Lion Rd, Philadelphia, PA 19114 Phone: 215-632-1612 Fax: 215-632-3221
John Paul Friel Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 3223 N Broad St, Philadelphia, PA 19140 Phone: 215-707-0115
Dr. Thomas Anthony Langan Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8201 Henry Ave Apt P35, Philadelphia, PA 19128 Phone: 267-702-5413
Christina Maragakes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9898 Roosevelt Blvd Ste 107, Philadelphia, PA 19115 Phone: 267-885-8881
Dr. Samantha Slutsky, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5597 Tulip St Ste B4, Philadelphia, PA 19124 Phone: 215-344-7400
Maria Salib, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-282-8000

Dr Ali Ebrahim Mohammad, DDS - Medicare Dentist in Philadelphia, PA