Dr Deepak Gopala Krishnan, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Cincinnati, Ohio. His current practice location is
222 Piedmont Ave, Ste. 7300, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 475-8783.
Dr Deepak Gopala Krishnan is licensed to practice in Ohio (license number 30-024214) 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 1093974867.
Healthcare Provider's Profile
| Full Name | Dr Deepak Gopala Krishnan |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 222 Piedmont Ave, Cincinnati, 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: 1093974867
- Provider Enumeration Date: 06/05/2008
- Last Update Date: 02/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 0941375265
- Enrollment ID: I20080821000404
Medical Identifiers
Medical identifiers for Dr Deepak Gopala Krishnan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093974867 | NPI | - | NPPES |
| 2900874 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 71.000216 (Ohio) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 71000216 (Ohio) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 30-024214 (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 Deepak Gopala Krishnan allows following entities to bill medicare on his behalf.
| Entity Name | University Of Cincinnati Physicians Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801840434
PECOS PAC ID: 2264344480
Enrollment ID: O20031105000123 |
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| Entity Name | Children's Hospital Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609915784
PECOS PAC ID: 8426955733
Enrollment ID: O20031216000035 |
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| Entity Name | University Surgical-dental Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649241787
PECOS PAC ID: 1658384482
Enrollment ID: O20060724000047 |
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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 Deepak Gopala Krishnan 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 |
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Dr Deepak Gopala Krishnan, DDS
Po Box 630579,
Cincinnati, OH 45263-0579
Ph: (513) 585-5501 | Dr Deepak Gopala Krishnan, DDS
222 Piedmont Ave, Ste. 7300,
Cincinnati, OH 45219-4231
Ph: (513) 475-8783 |
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