Nadeem D Dallal, DDS in Roeland Park, KS - Medicare Dentist Provider

Nadeem D Dallal, DDS is a medicare enrolled "Dentist" provider in Roeland Park, Kansas. His current practice location is 5125 Roe Blvd Ste 100, Roeland Park, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 831-4300.

Nadeem D Dallal is licensed to practice in Missouri (license number 2005014731) 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 1467481028.

Contact Information

	Nadeem D Dallal, DDS
	5125 Roe Blvd Ste 100, Roeland Park, KS 66205-2358
	(913) 831-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nadeem D Dallal
Gender	Male
Speciality	Dentist
Location	5125 Roe Blvd Ste 100, Roeland Park, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467481028
Provider Enumeration Date: 07/03/2006
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4486657277
Enrollment ID: I20241017001249

Medical Identifiers

Medical identifiers for Nadeem D Dallal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467481028	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	60377 (Kansas)	Secondary
122300000X	Dentist	2005014731 (Missouri)	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. Nadeem D Dallal allows following entities to bill medicare on his behalf.

Entity Name	University Of Kansas Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295845758 PECOS PAC ID: 9436054798 Enrollment ID: O20241004002905

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. Nadeem D Dallal 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
Nadeem D Dallal, DDS 5125 Roe Blvd Ste 100, Roeland Park, KS 66205-2358 Ph: (913) 831-4300	Nadeem D Dallal, DDS 5125 Roe Blvd Ste 100, Roeland Park, KS 66205-2358 Ph: (913) 831-4300

Reviews and Comments

Dentist in Roeland Park, KS

Vincent Chen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5201 Roe Blvd, Roeland Park, KS 66205 Phone: 913-828-0060
Dr. Susan Laing, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5201 Roe Blvd, Roeland Park, KS 66205 Phone: 913-371-3550
Chidiogo Obi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5201 Roe Blvd, Roeland Park, KS 66205 Phone: 913-828-0060
Dr. Dallin Roberts, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5201 Roe Blvd, Roeland Park, KS 66205 Phone: 913-828-0060 Fax: 913-828-0061

Nadeem D Dallal, DDS - Medicare Dentist in Roeland Park, KS