Dr Maneesh Mohan, DMD in Louisville, KY - Medicare Dentist Provider

Dr Maneesh Mohan, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Louisville, Kentucky. His current practice location is 5100 Outer Loop, Suite B, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 966-8660.

Dr Maneesh Mohan is licensed to practice in Kentucky (license number 8191) 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 1154310985.

Contact Information

	Dr Maneesh Mohan, DMD
	5100 Outer Loop, Suite B, Louisville, KY 40219-3201
	(502) 966-8660
	(502) 969-8444

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Maneesh Mohan
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	5100 Outer Loop, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154310985
Provider Enumeration Date: 10/14/2005
Last Update Date: 06/12/2014

Medicare PECOS Information:

PECOS PAC ID: 9032354741
Enrollment ID: I20130401000160

Medical Identifiers

Medical identifiers for Dr Maneesh Mohan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154310985	NPI	-	NPPES
200872180	Medicaid	IN
9179239	Other	KY	DORAL
6411381400	Medicaid	KY
204E0000X	Medicaid	KY
50007575	Other	KY	PASSPORT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	8191 (Kentucky)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	12011030A (Indiana)	Secondary
204E00000X	Oral & Maxillofacial Surgery	8181 (Kentucky)	Secondary

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 Maneesh Mohan allows following entities to bill medicare on his behalf.

Entity Name	Oral Surgery Group Of Frankfort, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568768224 PECOS PAC ID: 9335327964 Enrollment ID: O20110629000359

Entity Name	Oral Surgery Group Of Middletown Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497070148 PECOS PAC ID: 8022280957 Enrollment ID: O20111018000723

Entity Name	Specialized Dental Services Jefferson Mall Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033397914 PECOS PAC ID: 1759531874 Enrollment ID: O20121026000414

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 Maneesh Mohan 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 Maneesh Mohan, DMD 2441 State St, New Albany, IN 47150-4962 Ph: (812) 944-7200	Dr Maneesh Mohan, DMD 5100 Outer Loop, Suite B, Louisville, KY 40219-3201 Ph: (502) 966-8660

Reviews and Comments

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Dr Maneesh Mohan, DMD - Medicare Dentist in Louisville, KY