Dr Mehran Mehrabi, MD, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Beaver Dam, Wisconsin. His current practice location is
301 S Roosevelt Dr Ste A, Beaver Dam, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 356-9711.
Dr Mehran Mehrabi is licensed to practice in Wisconsin (license number 6344-15) 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 1033211099.
Physician's Profile
Full Name | Dr Mehran Mehrabi |
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Gender | Male |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
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Location | 301 S Roosevelt Dr Ste A, Beaver Dam, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033211099
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 09/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486956679
- Enrollment ID: I20160105001779
Medical Identifiers
Medical identifiers for Dr Mehran Mehrabi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033211099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 52824-20 (Wisconsin) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6344-15 (Wisconsin) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20002 (Massachusetts) | Secondary |
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. Dr Mehran Mehrabi 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 |
Dr Mehran Mehrabi, MD, DMD 301 S Roosevelt Dr Ste A, Beaver Dam, WI 53916-2439 Ph: (920) 356-9711 | Dr Mehran Mehrabi, MD, DMD 301 S Roosevelt Dr Ste A, Beaver Dam, WI 53916-2439 Ph: (920) 356-9711 |
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