Dr Jody B Herschenhorn-dominick, DDS in Sacaton, AZ

Dr Jody B Herschenhorn-dominick, DDS is a medicare enrolled "Dentist - General Practice" provider in Sacaton, Arizona. Her current practice location is 483 W. Seed Farm Rd., Sacaton, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 528-1200.

Dr Jody B Herschenhorn-dominick is licensed to practice in Arizona (license number 5247) 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 1770669939.

Contact Information

	Dr Jody B Herschenhorn-dominick, DDS
	483 W. Seed Farm Rd., Sacaton, AZ 85147-0038
	(602) 528-1200
	(602) 528-1296

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jody B Herschenhorn-dominick
Gender	Female
Speciality	Dentist - General Practice
Location	483 W. Seed Farm Rd., Sacaton, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770669939
Provider Enumeration Date: 10/31/2006
Last Update Date: 03/08/2012

Medicare PECOS Information:

PECOS PAC ID: 6800025214
Enrollment ID: I20140206000125

Medical Identifiers

Medical identifiers for Dr Jody B Herschenhorn-dominick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770669939	NPI	-	NPPES
AZ0479240	Other	AZ	BCBS PROVIDER NUMBER
873865	Other	AZ	UNITED CONCORDIA DENTAL
771768	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	5247 (Arizona)	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 Jody B Herschenhorn-dominick allows following entities to bill medicare on her behalf.

Entity Name	Gila River Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376538231 PECOS PAC ID: 0648174185 Enrollment ID: O20031125000648

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 Jody B Herschenhorn-dominick 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 Jody B Herschenhorn-dominick, DDS Po Box 38, Gila River Health Care Corporation, Sacaton, AZ 85147-0038 Ph: (602) 528-1200	Dr Jody B Herschenhorn-dominick, DDS 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 Ph: (602) 528-1200

Reviews and Comments

Dentist in Sacaton, AZ

Dr. Kelly M Saunders, DDS Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255
Dr. Nguyet Minh Kha, DDS Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255
Dr. James Craig Aten, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 438 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1209 Fax: 602-528-1245
Dr. Robert E Crum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85247 Phone: 602-528-1340 Fax: 602-528-1296
Dr. Harry E Youngkin, DMD Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255
Dr. Eva Jenner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255
Dr. John David Landgren, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255

Dr Jody B Herschenhorn-dominick, DDS - Medicare Dentist in Sacaton, AZ