Mohan Gautam, in Dearborn, MI - Medicare Psychiatry & Neurology

Mohan Gautam, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Dearborn, Michigan. His current practice location is 18001 Rotunda Dr, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 633-2300.

Mohan Gautam is licensed to practice in Michigan (license number 5101026584) 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 1841797834.

Contact Information

	Mohan Gautam,
	18001 Rotunda Dr, Dearborn, MI 48124-3984
	(313) 633-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Mohan Gautam
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	18001 Rotunda Dr, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841797834
Provider Enumeration Date: 04/07/2018
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9931455680
Enrollment ID: I20220624000597

Medical Identifiers

Medical identifiers for Mohan Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841797834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	5101026584 (Michigan)	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. Mohan Gautam allows following entities to bill medicare on his behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

Entity Name	Wayne County Treasurer-payroll, County Of Wayne
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700215977 PECOS PAC ID: 2961462635 Enrollment ID: O20160311000413

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

Entity Name	Recovery Physicians Network Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689343683 PECOS PAC ID: 5597162552 Enrollment ID: O20210920000260

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. Mohan Gautam 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
Mohan Gautam, 26901 Beaumont Blvd # 3d, Southfield, MI 48033-3849 Ph: (947) 522-1952	Mohan Gautam, 18001 Rotunda Dr, Dearborn, MI 48124-3984 Ph: (313) 633-2300

Reviews and Comments

Psychiatry & Neurology Doctors in Dearborn, MI

Nathan Lwo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000
Dora Mell, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000
Ethan Aleksandr Bork, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000
Dr. Suheb Mashkoor Hasan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3815 Pelham St, Ste 1, Dearborn, MI 48124 Phone: 313-593-3915 Fax: 313-792-8812
Dr. Hassan Mohamed Barada, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000
Dr. Manuel Dumlao, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2314 Monroe St, Dearborn, MI 48124 Phone: 313-562-6633 Fax: 313-562-0880
Dr. Zane Alroshood, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18001 Rotunda Dr, Dearborn, MI 48124 Phone: 313-633-2600

Mohan Gautam, - Medicare Psychiatry & Neurology in Dearborn, MI