Mostafa Tabaa, DDS in Springboro, OH - Medicare Dentist Provider

Mostafa Tabaa, DDS is a medicare enrolled "Dentist - Periodontics" provider in Springboro, Ohio. His current practice location is 18 Remick Blvd, Springboro, Ohio. You can reach out to his office (for appointments etc.) via phone at (215) 939-5062.

Mostafa Tabaa is licensed to practice in Ohio (license number 30026606) 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 1649766593.

Contact Information

	Mostafa Tabaa, DDS
	18 Remick Blvd, Springboro, OH 45066-9168
	(215) 939-5062
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mostafa Tabaa
Gender	Male
Speciality	Dentist - Periodontics
Location	18 Remick Blvd, Springboro, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649766593
Provider Enumeration Date: 07/03/2018
Last Update Date: 04/18/2022

Medicare PECOS Information:

PECOS PAC ID: 7214286335
Enrollment ID: I20180823001160

Medical Identifiers

Medical identifiers for Mostafa Tabaa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649766593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	10049 (Kentucky)	Secondary
1223P0300X	Dentist - Periodontics	30026606 (Ohio)	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. Mostafa Tabaa allows following entities to bill medicare on his behalf.

Entity Name	University Of Kentucky
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072

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. Mostafa Tabaa 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
Mostafa Tabaa, DDS 530 Basil St, Springboro, OH 45066-1004 Ph: (215) 939-5062	Mostafa Tabaa, DDS 18 Remick Blvd, Springboro, OH 45066-9168 Ph: (215) 939-5062

Reviews and Comments

Dentist in Springboro, OH

Dr. Todd M Baker, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 568 N Main St, Springboro, OH 45066 Phone: 937-748-8280 Fax: 937-748-8281
Raj Kulkarni, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 566 N Main St, Springboro, OH 45066 Phone: 937-748-0505 Fax: 937-748-8235
Dr. Charles Robert Mccormick Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 S Main St, Springboro, OH 45066 Phone: 937-748-2616 Fax: 937-748-2807
Dr. Kelly L Privett, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 760 W Central Ave, Springboro, OH 45066 Phone: 937-746-0539 Fax: 937-746-0530
Dr. Junot J Franco, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St, Springboro, OH 45066 Phone: 937-748-2481
Dr. Daniel A Delisle, DDS Dentist Medicare: Medicare Enrolled Practice Location: 780 North Main Street, Springboro, OH 45066 Phone: 937-748-9125 Fax: 937-748-9126
Dr. Andrew Zucker, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 25 E Central Ave, Springboro, OH 45066 Phone: 937-748-2220

Mostafa Tabaa, DDS - Medicare Dentist in Springboro, OH