Dr Paul Jacob Mortiere, DDS in Canton, MI - Medicare Dentist Provider

Dr Paul Jacob Mortiere, DDS is a medicare enrolled "Dentist" provider in Canton, Michigan. His current practice location is 5958 N Canton Center Rd, Suite 600, Canton, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 459-1950.

Dr Paul Jacob Mortiere is licensed to practice in Michigan (license number 014875) 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 1497825103.

Contact Information

	Dr Paul Jacob Mortiere, DDS
	5958 N Canton Center Rd, Suite 600, Canton, MI 48187-2765
	(734) 459-1950
	(734) 459-5710

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Paul Jacob Mortiere
Gender	Male
Speciality	Dentist
Location	5958 N Canton Center Rd, Canton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497825103
Provider Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022311562
Enrollment ID: I20190715001624

Medical Identifiers

Medical identifiers for Dr Paul Jacob Mortiere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497825103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	014875 (Michigan)	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 Paul Jacob Mortiere allows following entities to bill medicare on his behalf.

Entity Name	Mortiere And Gasparotto Dds Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194813535 PECOS PAC ID: 6901131994 Enrollment ID: O20190712002040

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 Paul Jacob Mortiere 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 Paul Jacob Mortiere, DDS 5958 N Canton Center Rd, Suite 600, Canton, MI 48187-2765 Ph: (734) 459-1950	Dr Paul Jacob Mortiere, DDS 5958 N Canton Center Rd, Suite 600, Canton, MI 48187-2765 Ph: (734) 459-1950

Reviews and Comments

Dentist in Canton, MI

Dr. Nadine Husseini, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1325 N Canton Center Rd, Canton, MI 48187 Phone: 734-896-5069
Dr. Joseph R Smulsky, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8588 N Canton Center Rd, Canton, MI 48187 Phone: 734-453-0940 Fax: 734-453-0437
Dr. Richard Francis Stec, DDS Dentist Medicare: Medicare Enrolled Practice Location: 43050 Ford Rd, St 190, Canton, MI 48187 Phone: 734-981-1800 Fax: 734-981-0520
Mr. Sean Robert Obrien, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1716 S Lilley Rd, Canton, MI 48188 Phone: 734-397-5500 Fax: 734-394-2528
Dr. Roxanne Serkaian Mclaughlin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5730 N Liley, Suite #d, Canton, MI 48187 Phone: 734-981-4909 Fax: 734-981-6140
Riyad A Al-qawasmi, BDS, MSD, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4227 Old Canton Center Rd, Canton, MI 48188 Phone: 734-397-6999 Fax: 734-397-6888
Dr. Shaimaa Baqai, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5958 N Canton Center Rd, Canton, MI 48187 Phone: 344-519-5707

Dr Paul Jacob Mortiere, DDS - Medicare Dentist in Canton, MI