Sean Rillahan, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Detroit, Michigan. His current practice location is
2700 Martin Luther King Jr Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 494-6700.
Sean Rillahan is licensed to practice in Michigan (license number 2951000972) 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 1760053540.
Healthcare Provider's Profile
Full Name | Sean Rillahan |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2700 Martin Luther King Jr Blvd, 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: 1760053540
- Provider Enumeration Date: 07/02/2021
- Last Update Date: 07/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789082223
- Enrollment ID: I20211013002005
Medical Identifiers
Medical identifiers for Sean Rillahan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760053540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D-5291 (Idaho) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 2951000972 (Michigan) | Primary |
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. Sean Rillahan 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 |
Sean Rillahan, DDS 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (313) 494-6700 | Sean Rillahan, DDS 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (313) 494-6700 |
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