Dr Idean K Mohammadi, DDS in Sedalia, MO - Medicare Dentist Provider

Dr Idean K Mohammadi, DDS is a medicare enrolled "Dentist" provider in Sedalia, Missouri. His current practice location is 700 S Limit Ave # 100, Sedalia, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 200-1675.

Dr Idean K Mohammadi is licensed to practice in Missouri (license number 2022019328) 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 1962128603.

Contact Information

	Dr Idean K Mohammadi, DDS
	700 S Limit Ave # 100, Sedalia, MO 65301-3918
	(660) 200-1675
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Idean K Mohammadi
Gender	Male
Speciality	Dentist
Location	700 S Limit Ave # 100, Sedalia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962128603
Provider Enumeration Date: 10/14/2022
Last Update Date: 06/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6204295538
Enrollment ID: I20230705003095

Medical Identifiers

Medical identifiers for Dr Idean K Mohammadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962128603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	61881 (Kansas)	Secondary
122300000X	Dentist	2022019328 (Missouri)	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 Idean K Mohammadi allows following entities to bill medicare on his behalf.

Entity Name	Heartland Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669657029 PECOS PAC ID: 2769477645 Enrollment ID: O20040419001521

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 Idean K Mohammadi 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 Idean K Mohammadi, DDS 700 S Limit Ave # 100, Sedalia, MO 65301-3918 Ph: (816) 287-1990	Dr Idean K Mohammadi, DDS 700 S Limit Ave # 100, Sedalia, MO 65301-3918 Ph: (660) 200-1675

Reviews and Comments

Dentist in Sedalia, MO

Nicole Renee Medley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 821 Westwood Dr, Sedalia, MO 65301 Phone: 660-826-4774 Fax: 660-826-1300
Dr. Joel David Chappell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 W 16th St, Sedalia, MO 65301 Phone: 660-826-1733
Dr. Murray V. Whitehead, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 804 Winchester Dr, Sedalia, MO 65301 Phone: 660-826-8422
Braeden Mathur, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 821 Westwood Dr, Sedalia, MO 65301 Phone: 660-826-4774
Mr. Gerald W Spencer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1716 W 11th St, Sedalia, MO 65301 Phone: 660-826-3571 Fax: 660-826-3051
Riley Anderson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 821 Westwood Dr, Sedalia, MO 65301 Phone: 660-826-4774 Fax: 660-826-1300
Dr. Thelma Guadalupe Frankum, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 807 Thompson Blvd, Sedalia, MO 65301 Phone: 660-826-0003 Fax: 660-826-4140

Dr Idean K Mohammadi, DDS - Medicare Dentist in Sedalia, MO