Dr Shamanna Mohan, DDS in Long Beach, CA - Medicare Dentist Provider

Dr Shamanna Mohan, DDS is a medicare enrolled "Dentist - General Practice" provider in Long Beach, California. His current practice location is 5399 Orange Ave, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 422-9698.

Dr Shamanna Mohan is licensed to practice in California (license number 29382) 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 1184733115.

Contact Information

	Dr Shamanna Mohan, DDS
	5399 Orange Ave, Long Beach, CA 90805
	(562) 422-9698
	(562) 422-9788

Healthcare Provider's Profile

Full Name	Dr Shamanna Mohan
Gender	Male
Speciality	Dentist - General Practice
Location	5399 Orange Ave, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184733115
Provider Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2860782349
Enrollment ID: I20160613001407

Medical Identifiers

Medical identifiers for Dr Shamanna Mohan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184733115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	29382 (California)	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. Dr Shamanna Mohan 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
Dr Shamanna Mohan, DDS 5399 Orange Ave, Long Beach, CA 90805-6017 Ph: (562) 422-9698	Dr Shamanna Mohan, DDS 5399 Orange Ave, Long Beach, CA 90805 Ph: (562) 422-9698

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Dr Shamanna Mohan, DDS - Medicare Dentist in Long Beach, CA