Dr Idean K Mohammadi, DDS in Stillwater, OK

Dr Idean K Mohammadi, DDS is a medicare enrolled "Dentist" provider in Stillwater, Oklahoma. His current practice location is 510 S Duck St, Stillwater, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 377-7300.

Dr Idean K Mohammadi is licensed to practice in Oklahoma (license number 7984) 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 1962128603.

Contact Information

	Dr Idean K Mohammadi, DDS
	510 S Duck St, Stillwater, OK 74074-4051
	(405) 377-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Idean K Mohammadi
Gender	Male
Speciality	Dentist
Location	510 S Duck St, Stillwater, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962128603
Provider Enumeration Date: 10/14/2022
Last Update Date: 05/12/2026

Medicare PECOS Information:

PECOS PAC ID: 6204295538
Enrollment ID: I20230705003095

Medical Identifiers

Medical identifiers for Dr Idean K Mohammadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962128603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7984 (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. Dr Idean K Mohammadi allows following entities to bill medicare on his behalf.

Entity Name	Heartland Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669657029 PECOS PAC ID: 2769477645 Enrollment ID: O20040419001521

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 Idean K Mohammadi 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 Idean K Mohammadi, DDS 510 S Duck St, Stillwater, OK 74074-4051 Ph: (405) 377-7300	Dr Idean K Mohammadi, DDS 510 S Duck St, Stillwater, OK 74074-4051 Ph: (405) 377-7300

Reviews and Comments

Dentist in Stillwater, OK

Shanon Black, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 316 N Main St Ste 1, Stillwater, OK 74075 Phone: 405-372-7474
Chad Brandon Hoecker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 S Duck St, Stillwater, OK 74074 Phone: 405-377-7300
Mr. Ross Edwin Sethman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 812 South Pine Street, Stillwater, OK 74074 Phone: 405-624-1300 Fax: 405-624-3084
Dr. Craig D Spaulding, D.D.S.,PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 823 S Pine St, Stillwater, OK 74074 Phone: 405-372-1155 Fax: 405-372-1155
Jennifer Lauvetz-enmeier, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 816 S Pine St, Stillwater, OK 74074 Phone: 405-624-0061
Dr. Lamont Lynn Gee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 E Mcelroy Rd, Stillwater, OK 74075 Phone: 405-372-7474
Dr. Edwin E Sutherland Ii, D.D.S, M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1605 S Sangre Rd, Stillwater, OK 74074 Phone: 405-533-1555

Dr Idean K Mohammadi, DDS - Medicare Dentist in Stillwater, OK