Dr Firdose Basha Kamal Basha, BDS in Roxbury, MA

Dr Firdose Basha Kamal Basha, BDS is a medicare enrolled "Dentist" provider in Roxbury, Massachusetts. His current practice location is 45 Dimock Street, Richards Building, Roxbury, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 442-8800.

Dr Firdose Basha Kamal Basha is licensed to practice in Massachusetts (license number DL14732) 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 1407344914.

Contact Information

	Dr Firdose Basha Kamal Basha, BDS
	45 Dimock Street, Richards Building, Roxbury, MA 02119
	(617) 442-8800
	(617) 442-4088

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Firdose Basha Kamal Basha
Gender	Male
Speciality	Dentist
Location	45 Dimock Street, Roxbury, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407344914
Provider Enumeration Date: 04/30/2018
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9739421306
Enrollment ID: I20210511002359

Medical Identifiers

Medical identifiers for Dr Firdose Basha Kamal Basha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407344914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DL14732 (Massachusetts)	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. Dr Firdose Basha Kamal Basha allows following entities to bill medicare on his behalf.

Entity Name	Dimock Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242

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 Firdose Basha Kamal Basha 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 Firdose Basha Kamal Basha, BDS 246 Elm St, Mansfield, MA 02048-2619 Ph: (857) 526-1090	Dr Firdose Basha Kamal Basha, BDS 45 Dimock Street, Richards Building, Roxbury, MA 02119 Ph: (617) 442-8800

Reviews and Comments

Dentist in Roxbury, MA

Susana Tejada, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-442-4088
Kathryn Stahlhuth Holthaus, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2181 Washington St, Roxbury, MA 02119 Phone: 617-606-3049
Shaina Immaculee Henriquez, Dentist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-0950
Dr. Paritosh Amburle, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3033 Washington St, Roxbury, MA 02119 Phone: 617-541-2200
Joyce S Gitangu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2181 Washington St, 101, Roxbury, MA 02119 Phone: 617-427-5665
Anna Pietrantoni, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3033 Washington St, Roxbury, MA 02119 Phone: 617-541-2200
Shireen Khan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-0950

Dr Firdose Basha Kamal Basha, BDS - Medicare Dentist in Roxbury, MA