Ms Shamina Khanum, DENTIST - Medicare Dentist in Tupelo, MS

Ms Shamina Khanum, DENTIST is a medicare enrolled "Dentist - General Practice" provider in Tupelo, Mississippi. Her current practice location is 401 S Gloster St Ste 101, Sunnybrook Dentistry, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 346-5906.

Ms Shamina Khanum is licensed to practice in Mississippi (license number 4090-19) 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 1053724120.

Contact Information

Ms Shamina Khanum, DENTIST
401 S Gloster St Ste 101, Sunnybrook Dentistry,
Tupelo, MS 38801
(662) 346-5906
(678) 247-7874

Map and Direction




Healthcare Provider's Profile

Full NameMs Shamina Khanum
GenderFemale
SpecialityDentist - General Practice
Location401 S Gloster St Ste 101, Sunnybrook Dentistry, Tupelo, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053724120
  • Provider Enumeration Date: 06/06/2014
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799189015
  • Enrollment ID: I20210810000010

Medical Identifiers

Medical identifiers for Ms Shamina Khanum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053724120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4090-19 (Mississippi)Primary

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. Ms Shamina Khanum 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 AddressPractice Location Address
Ms Shamina Khanum, DENTIST
401 S Gloster St Ste 101, Sunnybrook Dentistry,
Tupelo, MS 38801

Ph: (662) 346-5906
Ms Shamina Khanum, DENTIST
401 S Gloster St Ste 101, Sunnybrook Dentistry,
Tupelo, MS 38801

Ph: (662) 346-5906

Reviews and Comments


Dentist in Tupelo, MS

Dr. Rebecca Smith Mcdougald, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 1906 N Gloster St, Tupelo, MS 38804
Phone: 662-844-6420    Fax: 662-844-6421
Dr. Kenneth Lee Austin, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 3694 W Jackson St, Tupelo, MS 38801
Phone: 662-842-8035    Fax: 662-842-3018
Dr. Carley Cole Wall, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 901 Garfield St, Tupelo, MS 38801
Phone: 662-844-6464    
Dr. James Keaton Lang, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1763 Cliff Gookin Blvd, Tupelo, MS 38801
Phone: 662-842-2802    
Dr. Dennis Davis Bond Sr., D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 499 Gloster Creek Vlg Ste F5a, Suite F-5a, Tupelo, MS 38801
Phone: 662-844-9580    
Dr. John Kevin Holman, DMD MSD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 99 Park Gate Dr, Tupelo, MS 38801
Phone: 662-842-1735    Fax: 662-842-1769

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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