Khaled Mohamed Asaad, BDS - Medicare Dentist in Roxbury, MA

Khaled Mohamed Asaad, BDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Roxbury, Massachusetts. His current practice location is 45 Dimock St, Roxbury, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 442-8800.

Khaled Mohamed Asaad is licensed to practice in Massachusetts (license number DL15167) 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 1295296671.

Contact Information

Khaled Mohamed Asaad, BDS
45 Dimock St,
Roxbury, MA 02119-1208
(617) 442-8800
(617) 541-0950



Healthcare Provider's Profile

Full NameKhaled Mohamed Asaad
GenderMale
SpecialityDentist - Pediatric Dentistry
Location45 Dimock St, Roxbury, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295296671
  • Provider Enumeration Date: 03/27/2019
  • Last Update Date: 05/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173900479
  • Enrollment ID: I20220505002300

Medical Identifiers

Medical identifiers for Khaled Mohamed Asaad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295296671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry DL14498 (Massachusetts)Secondary
1223P0221XDentist - Pediatric Dentistry DL15167 (Massachusetts)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. Khaled Mohamed Asaad allows following entities to bill medicare on his behalf.
Entity NameDimock Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588719488
PECOS PAC ID: 7012810492
Enrollment ID: O20040202000242

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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. Khaled Mohamed Asaad 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
Khaled Mohamed Asaad, BDS
55 Dimock St,
Roxbury, MA 02119-1029

Ph: (312) 504-8480
Khaled Mohamed Asaad, BDS
45 Dimock St,
Roxbury, MA 02119-1208

Ph: (617) 442-8800

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Dentist in Roxbury, MA

Susana Tejada, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 45 Dimock St, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-442-4088
Kathryn Stahlhuth Holthaus, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2181 Washington St, Roxbury, MA 02119
Phone: 617-606-3049    
Shaina Immaculee Henriquez,
Dentist
Medicare: Medicare Enrolled
Practice Location: 45 Dimock St, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-541-0950
Dr. Paritosh Amburle, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3033 Washington St, Roxbury, MA 02119
Phone: 617-541-2200    
Joyce S Gitangu, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2181 Washington St, 101, Roxbury, MA 02119
Phone: 617-427-5665    
Anna Pietrantoni, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3033 Washington St, Roxbury, MA 02119
Phone: 617-541-2200    
Shireen Khan, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 45 Dimock St, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-541-0950

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