Rushil Rajiv Dang, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Detroit, Michigan. His current practice location is
2799 W Grand Blvd Ste 3a, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(833) 663-7874.
Rushil Rajiv Dang is licensed to practice in Michigan (license number 2901601967) 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 1346613312.
Healthcare Provider's Profile
Full Name | Rushil Rajiv Dang |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 2799 W Grand Blvd Ste 3a, Detroit, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346613312
- Provider Enumeration Date: 11/12/2015
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991084584
- Enrollment ID: I20231208002930
Medical Identifiers
Medical identifiers for Rushil Rajiv Dang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346613312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DN1857103 (Massachusetts) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901601967 (Michigan) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 2901601967 (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. Rushil Rajiv Dang allows following entities to bill medicare on his behalf.
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801970124 PECOS PAC ID: 0547178311 Enrollment ID: O20041129000860 |
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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. Rushil Rajiv Dang 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 |
Rushil Rajiv Dang, DMD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (833) 663-7874 | Rushil Rajiv Dang, DMD 2799 W Grand Blvd Ste 3a, Detroit, MI 48202-2608 Ph: (833) 663-7874 |
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