Dr Aaron R Mulyadi, DMD - Medicare Dentist in Atlanta, GA

Dr Aaron R Mulyadi, DMD is a medicare enrolled "Dentist" provider in Atlanta, Georgia. His current practice location is 699 Ponce De Leon Ave Ne Ste 1, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 221-4954.

Dr Aaron R Mulyadi is licensed to practice in Georgia (license number DN123363) 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 1134565807.

Contact Information

Dr Aaron R Mulyadi, DMD
699 Ponce De Leon Ave Ne Ste 1,
Atlanta, GA 30308-1800
(678) 221-4954
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Aaron R Mulyadi
GenderMale
SpecialityDentist
Location699 Ponce De Leon Ave Ne Ste 1, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134565807
  • Provider Enumeration Date: 05/21/2013
  • Last Update Date: 05/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537471982
  • Enrollment ID: I20150629000625

Medical Identifiers

Medical identifiers for Dr Aaron R Mulyadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134565807NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DN1856246 (Massachusetts)Secondary
122300000XDentist DN123363 (Georgia)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 Aaron R Mulyadi 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
Dr Aaron R Mulyadi, DMD
1160 Mckendree Park Ln,
Lawrenceville, GA 30043-7062

Ph: (404) 374-5353
Dr Aaron R Mulyadi, DMD
699 Ponce De Leon Ave Ne Ste 1,
Atlanta, GA 30308-1800

Ph: (678) 221-4954

Reviews and Comments


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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).

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