Tapan Koticha, BDS, MDS in Edmond, OK - Medicare Dentist Provider

Tapan Koticha, BDS, MDS is a medicare enrolled "Dentist - Periodontics" provider in Edmond, Oklahoma. His current practice location is 16430 Muirfield Place, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 696-0908.

Tapan Koticha is licensed to practice in Oklahoma (license number 72) 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 1497023196.

Contact Information

	Tapan Koticha, BDS, MDS
	16430 Muirfield Place, Edmond, OK 73013-9161
	(405) 696-0908
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tapan Koticha
Gender	Male
Speciality	Dentist - Periodontics
Location	16430 Muirfield Place, Edmond, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497023196
Provider Enumeration Date: 12/08/2011
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3870879976
Enrollment ID: I20170403002455

Medical Identifiers

Medical identifiers for Tapan Koticha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497023196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2901020564 (Michigan)	Secondary
1223P0300X	Dentist - Periodontics	72 (Oklahoma)	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. Tapan Koticha allows following entities to bill medicare on his behalf.

Entity Name	Board Of Regents Of The University Of Oklahoma - Ou Denitstry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629110119 PECOS PAC ID: 9436104346 Enrollment ID: O20050314000819

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. Tapan Koticha 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
Tapan Koticha, BDS, MDS 16913 Shorerun Dr, Edmond, OK 73012-8440 Ph: () -	Tapan Koticha, BDS, MDS 16430 Muirfield Place, Edmond, OK 73013-9161 Ph: (405) 696-0908

Reviews and Comments

Dentist in Edmond, OK

Dr. Miriam Nosrati, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1900 E 15th St, Building 700a, Edmond, OK 73013 Phone: 405-285-8880 Fax: 405-285-8881
Mathew Dean Hookom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3225 Teakwood Ln, Edmond, OK 73013 Phone: 405-844-8887 Fax: 405-844-9625
Dr. Tom Kirby Ball, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1616 S Boulevard St, Suite A, Edmond, OK 73013 Phone: 405-348-2641 Fax: 405-348-6388
Dr. Kevin Scott Harland, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1400 W Covell Rd, Edmond, OK 73003 Phone: 405-348-6161
Dr. Marc Edward Arledge, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 125 E 3rd St, Suite A, Edmond, OK 73034 Phone: 405-341-1250
Michael F Alspaugh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 609 S Kelly Ave, Suite A1, Edmond, OK 73003 Phone: 405-340-3880
Dr. Eric Cooper Parsons, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1400 W Covell Rd, Edmond, OK 73003 Phone: 405-348-6161

Tapan Koticha, BDS, MDS - Medicare Dentist in Edmond, OK