Mahnaz Fatahzadeh, DMD - Medicare Dentist in Newark, NJ

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Mahnaz Fatahzadeh, DMD is a medicare enrolled "Dentist" provider in Newark, New Jersey. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Oral Surgery. She is a member of the group practice Rutgers University Dental Associates-new Brunswick, Rutgers Health - University Dental Associates and her current practice location is 110 Begern Street, Nj Dental School Oral Medicine Clinic D Level Area 12, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 972-1956.

Mahnaz Fatahzadeh is licensed to practice in New Jersey (license number DI020908) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225096720.

Contact Information

Mahnaz Fatahzadeh, DMD
110 Begern Street, Nj Dental School Oral Medicine Clinic D Level Area 12,
Newark, NJ 07103
(973) 972-1956
(973) 972-0505

Map and Direction




Healthcare Provider's Profile

Full NameMahnaz Fatahzadeh
GenderFemale
SpecialityOral Surgery
Experience31 Years
Location110 Begern Street, Newark, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mahnaz Fatahzadeh graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1225096720
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 04/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6002824919
  • Enrollment ID: I20080822000046

Medical Identifiers

Medical identifiers for Mahnaz Fatahzadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225096720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DI020908 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rutgers University Dental Associates-new Brunswick43859222512
Rutgers Health - University Dental Associates71138118376

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. Mahnaz Fatahzadeh allows following entities to bill medicare on her behalf.
Entity NameRutgers Health - University Dental Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346454584
PECOS PAC ID: 7113811837
Enrollment ID: O20040212000116
Entity NameRutgers School Of Dental Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073712543
PECOS PAC ID: 0244382109
Enrollment ID: O20091106000146
Entity NameRutgers University Dental Associates-new Brunswick
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164874376
PECOS PAC ID: 4385922251
Enrollment ID: O20161027000915

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. Mahnaz Fatahzadeh 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 AddressPractice Location Address
Mahnaz Fatahzadeh, DMD
15 Jon Leif Lane,
Chestnut Ridge, NY 10977

Ph: (865) 356-6084		Mahnaz Fatahzadeh, DMD
110 Begern Street, Nj Dental School Oral Medicine Clinic D Level Area 12,
Newark, NJ 07103

Ph: (973) 972-1956

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.