Dr Eduardo David Mondragon M, DDS in Des Moines, WA

Dr Eduardo David Mondragon M, DDS is a medicare enrolled "Dentist" provider in Des Moines, Washington. His current practice location is 26401 Pacific Hwy S Ste 201, Des Moines, Washington. You can reach out to his office (for appointments etc.) via phone at (260) 870-3600.

Dr Eduardo David Mondragon M is licensed to practice in Washington (license number DE61085473) 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 1114536653.

Contact Information

	Dr Eduardo David Mondragon M, DDS
	26401 Pacific Hwy S Ste 201, Des Moines, WA 98198-9247
	(260) 870-3600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Eduardo David Mondragon M
Gender	Male
Speciality	Dentist
Location	26401 Pacific Hwy S Ste 201, Des Moines, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114536653
Provider Enumeration Date: 07/30/2020
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 4385055169
Enrollment ID: I20201130002026

Medical Identifiers

Medical identifiers for Dr Eduardo David Mondragon M such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114536653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	204553 (Colorado)	Secondary
122300000X	Dentist	DE61085473 (Washington)	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 Eduardo David Mondragon M allows following entities to bill medicare on his behalf.

Entity Name	Sunrise Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902005382 PECOS PAC ID: 0648164780 Enrollment ID: O20040329001864

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 Eduardo David Mondragon M 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 Eduardo David Mondragon M, DDS 955 Powell Ave Sw, Renton, WA 98057-2908 Ph: (425) 277-1311	Dr Eduardo David Mondragon M, DDS 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198-9247 Ph: (260) 870-3600

Reviews and Comments

Dentist in Des Moines, WA

Kianoosh Behshid, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665 Fax: 206-870-1504
Dr. Barry Douglas Peyton, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 22221 7th Ave S, Suite A, Des Moines, WA 98198 Phone: 206-824-8288 Fax: 206-824-3859
Dr. Vivian Hyun Jin Bae, DDS Dentist Medicare: Medicare Enrolled Practice Location: 20710 1st Ave S, Des Moines, WA 98198 Phone: 206-878-8180 Fax: 206-878-5823
Mamatha Chenepalli, DMD Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198 Phone: 425-277-1311
Albert Wong, DMD, MPH Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198 Phone: 206-870-3600
Dr. Charles Tiu Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198 Phone: 206-870-3600

Dr Eduardo David Mondragon M, DDS - Medicare Dentist in Des Moines, WA