Mohammed K Qaisi, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. His current practice location is
1969 W Ogden Ave # Clinicd, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(128) 645-1633.
Mohammed K Qaisi is licensed to practice in Illinois (license number 036.139464) 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 1679783088.
Healthcare Provider's Profile
Full Name | Mohammed K Qaisi |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1969 W Ogden Ave # Clinicd, Chicago, Illinois |
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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. |
Medical Education and Training:
- Mohammed K Qaisi attended and graduated from in
NPI Data:
- NPI Number: 1679783088
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mohammed K Qaisi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679783088 | NPI | - | NPPES |
21459 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019.030516 (Illinois) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 036.139464 (Illinois) | 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. Mohammed K Qaisi 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 |
Mohammed K Qaisi, DMD, MD 1969 W Ogden Ave, Chicago, IL 60612-3765 Ph: (128) 645-1633 | Mohammed K Qaisi, DMD, MD 1969 W Ogden Ave # Clinicd, Chicago, IL 60612-3765 Ph: (128) 645-1633 |
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