Holly Marie Mcmahon, DDS in Shakopee, MN - Medicare Dentist Provider

Holly Marie Mcmahon, DDS is a medicare enrolled "Dentist" provider in Shakopee, Minnesota. Her current practice location is 250 Fuller St. S., Suite 250, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 445-6657.

Holly Marie Mcmahon is licensed to practice in Minnesota (license number D12966) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205129202.

Contact Information

	Holly Marie Mcmahon, DDS
	250 Fuller St. S., Suite 250, Shakopee, MN 55379
	(952) 445-6657
	(952) 445-0674

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Marie Mcmahon
Gender	Female
Speciality	Dentist
Location	250 Fuller St. S., Shakopee, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205129202
Provider Enumeration Date: 05/24/2011
Last Update Date: 03/26/2019

Medicare PECOS Information:

PECOS PAC ID: 0648577965
Enrollment ID: I20210507001844

Medical Identifiers

Medical identifiers for Holly Marie Mcmahon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205129202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D12966 (Minnesota)	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. Holly Marie Mcmahon allows following entities to bill medicare on her behalf.

Entity Name	O'brien Dental Care Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710086459 PECOS PAC ID: 1850651753 Enrollment ID: O20180215000287

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. Holly Marie Mcmahon 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
Holly Marie Mcmahon, DDS 250 Fuller St. S., Suite 250, Shakopee, MN 55379 Ph: (952) 445-6657	Holly Marie Mcmahon, DDS 250 Fuller St. S., Suite 250, Shakopee, MN 55379 Ph: (952) 445-6657

Reviews and Comments

Dentist in Shakopee, MN

Dr. Miranda Joy Mulligan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 250 Fuller St. S., Suite 250, Shakopee, MN 55379 Phone: 952-445-6657 Fax: 952-445-0674
Dr. James Wallace Arhart, DDS Dentist Medicare: Medicare Enrolled Practice Location: 205 Lewis St S, Shakopee, MN 55379 Phone: 952-445-3349 Fax: 952-445-1802
Kyle Ann Lohman, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4155 Dean Lakes Blvd, Shakopee, MN 55379 Phone: 952-303-8320
Dr. James Scott Perry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 403 1st Ave E, Shakopee, MN 55379 Phone: 952-445-5556 Fax: 952-445-3017
Abraham Freybler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 Saint Francis Ave Ste 145, Shakopee, MN 55379 Phone: 952-496-1538
Dr. Mark Joseph Elvecrog, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 8074 Old Carriage Ct, Shakopee, MN 55379 Phone: 952-746-0808

Holly Marie Mcmahon, DDS - Medicare Dentist in Shakopee, MN