Zachary Michael Mutter, in Shreveport, LA - Medicare Dentist Provider

Zachary Michael Mutter, is a medicare enrolled "Dentist - General Practice" provider in Shreveport, Louisiana. His current practice location is 910 Bert Kouns Industrial Loop, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 686-7470.

Zachary Michael Mutter is licensed to practice in Louisiana (license number 7611) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548956980.

Contact Information

	Zachary Michael Mutter,
	910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410
	(318) 686-7470
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Zachary Michael Mutter
Gender	Male
Speciality	Dentist - General Practice
Location	910 Bert Kouns Industrial Loop, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548956980
Provider Enumeration Date: 04/17/2023
Last Update Date: 06/16/2025

Medicare PECOS Information:

PECOS PAC ID: 3971953647
Enrollment ID: I20231220003060

Medical Identifiers

Medical identifiers for Zachary Michael Mutter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548956980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	7611 (Louisiana)	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. Zachary Michael Mutter allows following entities to bill medicare on his behalf.

Entity Name	Aria Dental Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942977632 PECOS PAC ID: 6406211895 Enrollment ID: O20230613003407

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. Zachary Michael Mutter 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
Zachary Michael Mutter, 24 Duck Haven Pt, Bossier City, LA 71111-8173 Ph: (314) 249-6557	Zachary Michael Mutter, 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 Ph: (318) 686-7470

Reviews and Comments

Dentist in Shreveport, LA

Dr. Jared Michael Boyd, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2042 Line Ave, Shreveport, LA 71104 Phone: 318-425-5356 Fax: 318-674-2898
Nadia Mohammadi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7251 Youree Dr, Shreveport, LA 71105 Phone: 318-239-1638
Dr. Christopher Allen Marsalis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 Phone: 318-688-9330
Dr. Rufus Vardis Loud, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2701 Frederick St, Shreveport, LA 71109 Phone: 318-631-3464 Fax: 318-631-3464
Dr. John Eric Monsour, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 Kayla St, Suite 200, Shreveport, LA 71105 Phone: 318-865-4382 Fax: 318-865-4386
Dr. Gregory Neil Bane, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave Bldg 57, Shreveport, LA 71101 Phone: 318-221-8411
Dr. James Richard Brown Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 North Market Street, Shreveport, LA 71107 Phone: 318-424-6405 Fax: 318-424-1599

Zachary Michael Mutter, - Medicare Dentist in Shreveport, LA