Dr Mustapha Hotait, DDS in Dolton, IL - Medicare Dentist Provider

Dr Mustapha Hotait, DDS is a medicare enrolled "Dentist" provider in Dolton, Illinois. His current practice location is 1350 E Sibley Blvd, Suite 302, Dolton, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 849-4644.

Dr Mustapha Hotait is licensed to practice in Illinois (license number 019028015) 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 1518199850.

Contact Information

	Dr Mustapha Hotait, DDS
	1350 E Sibley Blvd, Suite 302, Dolton, IL 60419-2965
	(708) 849-4644
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mustapha Hotait
Gender	Male
Speciality	Dentist
Location	1350 E Sibley Blvd, Dolton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518199850
Provider Enumeration Date: 08/20/2009
Last Update Date: 10/06/2021

Medicare PECOS Information:

PECOS PAC ID: 8820395254
Enrollment ID: I20211207001146

Medical Identifiers

Medical identifiers for Dr Mustapha Hotait such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518199850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019028015 (Illinois)	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 Mustapha Hotait allows following entities to bill medicare on his behalf.

Entity Name	North Oaks Dental Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588962351 PECOS PAC ID: 3476958513 Enrollment ID: O20210826003403

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 Mustapha Hotait 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 Mustapha Hotait, DDS 8300 Valley Circle Blvd Ste B, West Hills, CA 91304-3023 Ph: (183) 486-0688	Dr Mustapha Hotait, DDS 1350 E Sibley Blvd, Suite 302, Dolton, IL 60419-2965 Ph: (708) 849-4644

Reviews and Comments

Dentist in Dolton, IL

Ms. Tina A Shroff, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1021 E Sibley Blvd, Dolton, IL 60419 Phone: 708-849-9520 Fax: 908-849-9584
Dr. Lee B Silverglade, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1350 E Sibley Blvd, Ste 302, Dolton, IL 60419 Phone: 708-849-4644
David E Miller, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1218 E Sibley Blvd, Dolton, IL 60419 Phone: 708-841-3333
Dr. James Anthony Matchus, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 E Sibley Blvd, Dolton, IL 60419 Phone: 708-841-3565
Dr. Dean Duval Dietrich, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 609 E Sibley Blvd, Dolton, IL 60419 Phone: 708-849-4400
Dr. Paul Theodore Anast, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 E Sibley Blvd, Dolton, IL 60419 Phone: 708-201-1072

Dr Mustapha Hotait, DDS - Medicare Dentist in Dolton, IL