Mohan Gautam, - Medicare Psychiatry & Neurology in Dearborn, MI

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Mohan Gautam, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Dearborn, Michigan. His current practice location is 18001 Rotunda Dr, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 633-2300.

Mohan Gautam is licensed to practice in Michigan (license number 5101026584) 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 1841797834.

Contact Information

Mohan Gautam,
18001 Rotunda Dr,
Dearborn, MI 48124-3984
(313) 633-2300
Not Available

Map and Direction




Physician's Profile

Full NameMohan Gautam
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location18001 Rotunda Dr, Dearborn, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841797834
  • Provider Enumeration Date: 04/07/2018
  • Last Update Date: 01/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931455680
  • Enrollment ID: I20220624000597

Medical Identifiers

Medical identifiers for Mohan Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841797834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 5101026584 (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. Mohan Gautam allows following entities to bill medicare on his behalf.
Entity NameUniversity Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447299797
PECOS PAC ID: 8628087681
Enrollment ID: O20060419000518
Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549
Entity NameRecovery Physicians Network Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689343683
PECOS PAC ID: 5597162552
Enrollment ID: O20210920000260

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. Mohan Gautam 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 AddressPractice Location Address
Mohan Gautam,
26901 Beaumont Blvd # 3d,
Southfield, MI 48033-3849

Ph: (947) 522-1952		Mohan Gautam,
18001 Rotunda Dr,
Dearborn, MI 48124-3984

Ph: (313) 633-2300

Reviews and Comments


Psychiatry & Neurology Doctors in Dearborn, MI

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Phone: 313-562-6633    Fax: 313-562-0880

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.