Tadele Demisse, DMD in Philadelphia, PA - Medicare Dentist Provider

Tadele Demisse, DMD is a medicare enrolled "Dentist - General Practice" provider in Philadelphia, Pennsylvania. His current practice location is 6120b Woodland Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (267) 597-3600.

Tadele Demisse is licensed to practice in Pennsylvania (license number DS043969) 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 1942866280.

Contact Information

	Tadele Demisse, DMD
	6120b Woodland Ave, Philadelphia, PA 19142-3224
	(267) 597-3600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tadele Demisse
Gender	Male
Speciality	Dentist - General Practice
Location	6120b Woodland Ave, 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: 1942866280
Provider Enumeration Date: 05/13/2019
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7113322728
Enrollment ID: I20230302000817

Medical Identifiers

Medical identifiers for Tadele Demisse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942866280	NPI	-	NPPES
02995513	Medicaid	NY
53099A	Other	NY	PIN
331833	Other	NY	OSCAR
10000017080506	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	061697 (New York)	Secondary
1223G0001X	Dentist - General Practice	DS043969 (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. Tadele Demisse allows following entities to bill medicare on his behalf.

Entity Name	Schenectady Family Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396711982 PECOS PAC ID: 1850280827 Enrollment ID: O20040325000143

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. Tadele Demisse 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
Tadele Demisse, DMD 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 Ph: (267) 597-3600	Tadele Demisse, DMD 6120b Woodland Ave, Philadelphia, PA 19142-3224 Ph: (267) 597-3600

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

Tadele Demisse, DMD - Medicare Dentist in Philadelphia, PA