Ms Lan-tu Dang Holem, DDS in Mexico, MO - Medicare Dentist Provider

Ms Lan-tu Dang Holem, DDS is a medicare enrolled "Dentist - General Practice" provider in Mexico, Missouri. Her current practice location is 340 Kelley Pkwy, Mexico, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 582-1234.

Ms Lan-tu Dang Holem is licensed to practice in Missouri (license number 014975) 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 1902892235.

Contact Information

	Ms Lan-tu Dang Holem, DDS
	340 Kelley Pkwy, Mexico, MO 65265-3811
	(573) 582-1234
	(573) 582-1212

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lan-tu Dang Holem
Gender	Female
Speciality	Dentist - General Practice
Location	340 Kelley Pkwy, Mexico, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902892235
Provider Enumeration Date: 09/22/2005
Last Update Date: 03/10/2020

Medicare PECOS Information:

PECOS PAC ID: 3678864568
Enrollment ID: I20160623001970

Medical Identifiers

Medical identifiers for Ms Lan-tu Dang Holem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902892235	NPI	-	NPPES
403030430	Medicaid	MO
1902892235	Other	MO	NATIONAL PROVIDER IDENTIF

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	014975 (Missouri)	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. Ms Lan-tu Dang Holem allows following entities to bill medicare on her behalf.

Entity Name	East Central Missouri Behavioral Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501

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. Ms Lan-tu Dang Holem 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
Ms Lan-tu Dang Holem, DDS 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234	Ms Lan-tu Dang Holem, DDS 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234

Reviews and Comments

Dentist in Mexico, MO

William Harrison Jolly, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1415 South Morris Street, Mexico, MO 65265 Phone: 573-581-0511 Fax: 573-581-0511
Dr. Michael Eugene Briggs, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 E Monroe St, Mexico, MO 65265 Phone: 573-581-4352
Dr. Marvin Elwood Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 703 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-7660 Fax: 573-581-0788
Dr. Edward G. Stephens, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 303 N Western St, Mexico, MO 65265 Phone: 573-581-1054 Fax: 573-581-1054
Dr. Bruce Warren Garrett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 626 Summit, Mexico, MO 65265 Phone: 573-581-3121
Dr. Christopher Kollath, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3612 S Clark St, Mexico, MO 65265 Phone: 573-581-4352
Kaushik Ragam, Dentist Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-581-1981

Ms Lan-tu Dang Holem, DDS - Medicare Dentist in Mexico, MO