Dr Mamdouh Alrata, DDS in Washington, MO - Medicare Dentist Provider

Dr Mamdouh Alrata, DDS is a medicare enrolled "Dentist" provider in Washington, Missouri. His current practice location is 3155 Phoenix Center Dr, Washington, Missouri. You can reach out to his office (for appointments etc.) via phone at (630) 550-7406.

Dr Mamdouh Alrata is licensed to practice in Missouri (license number 2020037677) 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 1902321367.

Contact Information

	Dr Mamdouh Alrata, DDS
	3155 Phoenix Center Dr, Washington, MO 63090-5689
	(630) 550-7406
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mamdouh Alrata
Gender	Male
Speciality	Dentist
Location	3155 Phoenix Center Dr, Washington, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902321367
Provider Enumeration Date: 08/07/2017
Last Update Date: 02/01/2022

Medicare PECOS Information:

PECOS PAC ID: 3173897279
Enrollment ID: I20170927002520

Medical Identifiers

Medical identifiers for Dr Mamdouh Alrata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902321367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE60694174 (Washington)	Secondary
122300000X	Dentist	2020037677 (Missouri)	Primary

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 Mamdouh Alrata 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 Mamdouh Alrata, DDS 736 Carman Meadows Dr, Manchester, MO 63021-7100 Ph: (630) 550-7406	Dr Mamdouh Alrata, DDS 3155 Phoenix Center Dr, Washington, MO 63090-5689 Ph: (630) 550-7406

Reviews and Comments

Dentist in Washington, MO

Darrell W Lewis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 Elm St, Washington, MO 63090 Phone: 636-239-2804 Fax: 636-239-9660
Dr. Jon Patrick Lebsack, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 851 E 5th St, Ste. 320, Washington, MO 63090 Phone: 636-239-7150
Mrs. Jamie Ranae Mangels, Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Jefferson St, Washington, MO 63090 Phone: 636-239-2316 Fax: 636-239-3316
Daniel Gerard Walde, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1201 Jefferson St, Suite 220, Washington, MO 63090 Phone: 636-390-0005 Fax: 636-390-0001
Joseph M Laventure, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 Elm St, Washington, MO 63090 Phone: 636-239-2804 Fax: 636-239-9660
Aruna Rajagopalan Astuto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 E 6th St, Washington, MO 63090 Phone: 636-239-6328 Fax: 636-239-5048
Dr. Kaitlyn Bumberry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 E 6th St, Washington, MO 63090 Phone: 636-239-6328

Dr Mamdouh Alrata, DDS - Medicare Dentist in Washington, MO