Mamatha Chenepalli, DMD in Des Moines, WA - Medicare Dentist Provider

Mamatha Chenepalli, DMD is a medicare enrolled "Dentist" provider in Des Moines, Washington. Her current practice location is 22625 Pacific Hwy S, Des Moines, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 878-5665.

Mamatha Chenepalli is licensed to practice in Washington (license number DE00009662) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225295009.

Contact Information

	Mamatha Chenepalli, DMD
	22625 Pacific Hwy S, Des Moines, WA 98198-5110
	(206) 878-5665
	(206) 870-1504

Map and Direction

Healthcare Provider's Profile

Full Name	Mamatha Chenepalli
Gender	Female
Speciality	Dentist
Location	22625 Pacific Hwy S, Des Moines, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225295009
Provider Enumeration Date: 05/20/2008
Last Update Date: 03/24/2021

Medicare PECOS Information:

PECOS PAC ID: 3173930310
Enrollment ID: I20210406000106

Medical Identifiers

Medical identifiers for Mamatha Chenepalli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225295009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE00009662 (Washington)	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. Mamatha Chenepalli allows following entities to bill medicare on her behalf.

Entity Name	Healthpoint
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831199454 PECOS PAC ID: 9335042886 Enrollment ID: O20040206000245

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. Mamatha Chenepalli 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
Mamatha Chenepalli, DMD 6768 193rd Pl Ne, Redmond, WA 98052-0567 Ph: (425) 558-1618	Mamatha Chenepalli, DMD 22625 Pacific Hwy S, Des Moines, WA 98198-5110 Ph: (206) 878-5665

Reviews and Comments

Dentist in Des Moines, WA

Kianoosh Behshid, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665 Fax: 206-870-1504
Dr. Barry Douglas Peyton, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 22221 7th Ave S, Suite A, Des Moines, WA 98198 Phone: 206-824-8288 Fax: 206-824-3859
Dr. Vivian Hyun Jin Bae, DDS Dentist Medicare: Medicare Enrolled Practice Location: 20710 1st Ave S, Des Moines, WA 98198 Phone: 206-878-8180 Fax: 206-878-5823
Albert Wong, DMD, MPH Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198 Phone: 206-870-3600
Dr. Charles Tiu Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198 Phone: 206-870-3600
Nha-tran D. Tran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665

Mamatha Chenepalli, DMD - Medicare Dentist in Des Moines, WA