Mr Mehran Hossainizadeh, DMD in Philadelphia, PA

Mr Mehran Hossainizadeh, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Philadelphia, Pennsylvania. His current practice location is 3223 N. Broad Street, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 707-7756.

Mr Mehran Hossainizadeh is licensed to practice in Pennsylvania (license number DA030545R) 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 1699732602.

Contact Information

	Mr Mehran Hossainizadeh, DMD
	3223 N. Broad Street, Philadelphia, PA 19140
	(215) 707-7756
	(215) 707-5885

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mehran Hossainizadeh
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3223 N. Broad Street, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699732602
Provider Enumeration Date: 04/26/2006
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 9234100348
Enrollment ID: I20040803000847

Medical Identifiers

Medical identifiers for Mr Mehran Hossainizadeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699732602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	53369 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DA030545R (Pennsylvania)	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. Mr Mehran Hossainizadeh allows following entities to bill medicare on his behalf.

Entity Name	Temple University Of The Commonwealth System Of Higher Education
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265446983 PECOS PAC ID: 2961314299 Enrollment ID: O20040219000333

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. Mr Mehran Hossainizadeh 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
Mr Mehran Hossainizadeh, DMD Po Box 824635, Philadelphia, PA 19182-4635 Ph: (215) 707-2912	Mr Mehran Hossainizadeh, DMD 3223 N. Broad Street, Philadelphia, PA 19140 Ph: (215) 707-7756

Reviews and Comments

Dentist in Philadelphia, PA

Mr. Kevin John Klatte, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6814 Castor Ave, Philadelphia, PA 19149 Phone: 215-745-9443 Fax: 215-745-9453
Dr. Jeffrey Marc Weiner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3254 Red Lion Rd, Philadelphia, PA 19114 Phone: 215-632-1612 Fax: 215-632-3221
John Paul Friel Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 3223 N Broad St, Philadelphia, PA 19140 Phone: 215-707-0115
Dr. Thomas Anthony Langan Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8201 Henry Ave Apt P35, Philadelphia, PA 19128 Phone: 267-702-5413
Christina Maragakes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9898 Roosevelt Blvd Ste 107, Philadelphia, PA 19115 Phone: 267-885-8881
Dr. Samantha Slutsky, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5597 Tulip St Ste B4, Philadelphia, PA 19124 Phone: 215-344-7400
Maria Salib, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-282-8000

Mr Mehran Hossainizadeh, DMD - Medicare Dentist in Philadelphia, PA