Samira Mukkamala, DMD in Oak Brook, IL - Medicare Dentist Provider

Samira Mukkamala, DMD is a medicare enrolled "Dentist - General Practice" provider in Oak Brook, Illinois. Her current practice location is 2119 Clearwater Dr, Oak Brook, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 990-7766.

Samira Mukkamala is licensed to practice in Illinois (license number 019035526) 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 1861187346.

Contact Information

	Samira Mukkamala, DMD
	2119 Clearwater Dr, Oak Brook, IL 60523-8821
	(630) 990-7766
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samira Mukkamala
Gender	Female
Speciality	Dentist - General Practice
Location	2119 Clearwater Dr, Oak Brook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861187346
Provider Enumeration Date: 04/10/2023
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 5698298248
Enrollment ID: I20250325001799

Medical Identifiers

Medical identifiers for Samira Mukkamala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861187346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019035526 (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. Samira Mukkamala allows following entities to bill medicare on her behalf.

Entity Name	Dental Group Of Naperville, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447892047 PECOS PAC ID: 9537682182 Enrollment ID: O20250325001664

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. Samira Mukkamala 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
Samira Mukkamala, DMD 28294 Ferry Rd Apt 271, Warrenville, IL 60555-4065 Ph: (334) 294-2241	Samira Mukkamala, DMD 2119 Clearwater Dr, Oak Brook, IL 60523-8821 Ph: (630) 990-7766

Reviews and Comments

Dentist in Oak Brook, IL

Dr. Mark S Palo, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 Oakbrook Ctr, #714, Oak Brook, IL 60523 Phone: 630-654-3331 Fax: 630-954-2910
Dr. Paulina N. Brzozowski-sawicki, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 Oakbrook Ctr Ste 812, Oak Brook, IL 60523 Phone: 630-574-8383 Fax: 630-574-2083
Dr. Monica Raichand, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3012 Lincoln Rd, Oak Brook, IL 60523 Phone: 312-933-1196
Sarah Hamad, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1717 Midwest Club Pkwy, Oak Brook, IL 60523 Phone: 630-699-9716
Dr. Robert Cyril Steere, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Croydon Lane, Oak Brook, IL 60523 Phone: 630-571-5208
Dr. Vasilios S. Panos, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2208 Midwest Rd, Oak Brook, IL 60523 Phone: 630-954-4747
Dr. Peter Christopher Lekatsos, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 Oakbrook Ctr, Suite706, Oak Brook, IL 60523 Phone: 630-573-0290

Samira Mukkamala, DMD - Medicare Dentist in Oak Brook, IL