Heidi Pantazis, DMD in Columbia, SC - Medicare Dentist Provider

Heidi Pantazis, DMD is a medicare enrolled "Dentist" provider in Columbia, South Carolina. Her current practice location is 4344 Broad River Rd, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 896-1521.

Heidi Pantazis is licensed to practice in South Carolina (license number 8883) 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 1073054177.

Contact Information

	Heidi Pantazis, DMD
	4344 Broad River Rd, Columbia, SC 29210-4010
	(803) 896-1521
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Heidi Pantazis
Gender	Female
Speciality	Dentist
Location	4344 Broad River Rd, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073054177
Provider Enumeration Date: 03/09/2017
Last Update Date: 03/09/2017

Medicare PECOS Information:

PECOS PAC ID: 2466622659
Enrollment ID: I20230817000175

Medical Identifiers

Medical identifiers for Heidi Pantazis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073054177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	8883 (South Carolina)	Primary
122300000X	Dentist	DN015311 (Georgia)	Secondary

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. Heidi Pantazis allows following entities to bill medicare on her behalf.

Entity Name	Erin Rake, Dds, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770244212 PECOS PAC ID: 4284090911 Enrollment ID: O20230522002995

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. Heidi Pantazis 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
Heidi Pantazis, DMD 1227 Brookstone Way, Augusta, GA 30909-5658 Ph: (716) 870-7410	Heidi Pantazis, DMD 4344 Broad River Rd, Columbia, SC 29210-4010 Ph: (803) 896-1521

Reviews and Comments

Dentist in Columbia, SC

Dr. Christopher Robnett, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 122 N Brickyard Rd, Columbia, SC 29223 Phone: 803-736-1024 Fax: 803-699-3284
Katelyn Nevitt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 460 W Killian Rd, Columbia, SC 29203 Phone: 803-814-0102
Dr. Deidre Berger Crockett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5251 Forest Dr, Columbia, SC 29206 Phone: 803-787-9793 Fax: 803-738-0300
Dr. Howard Stone Denny Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5211 N Trenholm Rd, Columbia, SC 29206 Phone: 803-782-0965 Fax: 803-782-3404
Me'chell Littatta James, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3000 Two Notch Rd, Columbia, SC 29204 Phone: 803-691-9930 Fax: 803-691-9322
Dr. Sarah Anne H Knowlton, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3731 Forest Dr, Columbia, SC 29204 Phone: 803-782-8786
Dr. Louis Roncaglione, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 Elmtree Rd, Columbia, SC 29209 Phone: 803-783-9900

Heidi Pantazis, DMD - Medicare Dentist in Columbia, SC