Dr Deepthi Mundra, DDS in Forest, MS - Medicare Dentist Provider

Dr Deepthi Mundra, DDS is a medicare enrolled "Dentist - General Practice" provider in Forest, Mississippi. Her current practice location is Smile Care, Pllc, 1237 Highway 35 S, Forest, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 469-8266.

Dr Deepthi Mundra is licensed to practice in Wisconsin (license number 6907-15) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396006458.

Contact Information

	Dr Deepthi Mundra, DDS
	Smile Care, Pllc, 1237 Highway 35 S, Forest, MS 39074-8830
	(601) 469-8266
	(601) 469-8294

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Deepthi Mundra
Gender	Female
Speciality	Dentist - General Practice
Location	Smile Care, Pllc, Forest, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396006458
Provider Enumeration Date: 06/06/2012
Last Update Date: 12/07/2021

Medicare PECOS Information:

PECOS PAC ID: 8729487574
Enrollment ID: I20210527000055

Medical Identifiers

Medical identifiers for Dr Deepthi Mundra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396006458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6907-15 (Wisconsin)	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 Deepthi Mundra allows following entities to bill medicare on her behalf.

Entity Name	Quentin N Burdick Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052

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 Deepthi Mundra 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 Deepthi Mundra, DDS 102 Chilton Pl, Madison, MS 39110-7810 Ph: (773) 844-3439	Dr Deepthi Mundra, DDS Smile Care, Pllc, 1237 Highway 35 S, Forest, MS 39074-8830 Ph: (601) 469-8266

Reviews and Comments

Dentist in Forest, MS

Dr. Kevin M Reynolds, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 West 3rd Street, Forest, MS 39074 Phone: 601-469-4881 Fax: 601-469-3436
Douglas F Harvel, Jr, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1040 Highway 35 S, Forest, MS 39074 Phone: 601-469-3851 Fax: 601-469-4356
John B Smith Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1040 Hwy 35 South, Forest, MS 39074 Phone: 601-469-3851 Fax: 601-469-4356
Roger Douglas Woods, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 620 E Third St, Forest, MS 39074 Phone: 601-469-2664 Fax: 601-469-2955
Randy K Reynolds, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 West 3rd Street, Forest, MS 39074 Phone: 601-469-4881 Fax: 601-469-3436
Dr. Jackie Jones Iii, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1040 Highway 35 S, Forest, MS 39074 Phone: 601-469-3851 Fax: 601-469-4356

Dr Deepthi Mundra, DDS - Medicare Dentist in Forest, MS