Jai K Mediratta, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Rochester, Minnesota. He went to Univ Of Nebraska Medical Center, Col Of Dentistry and graduated in 2021 and has 5 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Mayo Clinic and his current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 284-2511.
Jai K Mediratta is licensed to practice in Minnesota (license number 80453) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225618390.
Healthcare Provider's Profile
| Full Name | Jai K Mediratta |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 5 Years |
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| Location | 200 1st St Sw, Rochester, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jai K Mediratta attended and graduated from Univ Of Nebraska Medical Center, Col Of Dentistry in 2021
NPI Data:
- NPI Number: 1225618390
- Provider Enumeration Date: 04/12/2021
- Last Update Date: 12/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022411685
- Enrollment ID: I20210721000093
Medical Identifiers
Medical identifiers for Jai K Mediratta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225618390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D14574 (Minnesota) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 80453 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mayo Clinic | 6507778255 | 4507 |
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. Jai K Mediratta allows following entities to bill medicare on his behalf.
| Entity Name | Mayo Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922074434
PECOS PAC ID: 6507778255
Enrollment ID: O20031103000285 |
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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. Jai K Mediratta 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 |
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Jai K Mediratta, DDS
Po Box 860912,
Minneapolis, MN 55486-0912
Ph: (507) 284-2511 | Jai K Mediratta, DDS
200 1st St Sw,
Rochester, MN 55905-0002
Ph: (507) 284-2511 |
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