Dr Bhupesh Kiran Mandali, BDS/DDS is a medicare enrolled "Dentist" provider in Manchester, Ohio. His current practice location is
130 Wayne Frye Dr, Manchester, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 549-1279.
Dr Bhupesh Kiran Mandali is licensed to practice in Ohio (license number 30.026273) 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 1255888392.
Healthcare Provider's Profile
| Full Name | Dr Bhupesh Kiran Mandali |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 130 Wayne Frye Dr, Manchester, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255888392
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 01/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294141511
- Enrollment ID: I20210311002377
Medical Identifiers
Medical identifiers for Dr Bhupesh Kiran Mandali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255888392 | NPI | - | NPPES |
| 0425651 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 30.026273 (Ohio) | 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 Bhupesh Kiran Mandali allows following entities to bill medicare on his behalf.
| Entity Name | Community Action Committee Of Pike County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578974929
PECOS PAC ID: 3173432762
Enrollment ID: O20141022000689 |
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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 Bhupesh Kiran Mandali 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 Bhupesh Kiran Mandali, BDS/DDS
6343 Township Road 136,
Findlay, OH 45840-9675
Ph: (618) 407-8258 | Dr Bhupesh Kiran Mandali, BDS/DDS
130 Wayne Frye Dr,
Manchester, OH 45144-9314
Ph: (937) 549-1279 |
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