Nazila Mirza Bagheri, DDS in Polacca, AZ - Medicare Dentist Provider

Nazila Mirza Bagheri, DDS is a medicare enrolled "Dentist - General Practice" provider in Polacca, Arizona. Her current practice location is Mp 388 Highway 264, Polacca, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 737-6165.

Nazila Mirza Bagheri is licensed to practice in California (license number 51894) 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 1295823219.

Contact Information

	Nazila Mirza Bagheri, DDS
	Mp 388 Highway 264, Polacca, AZ 86042
	(928) 737-6165
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nazila Mirza Bagheri
Gender	Female
Speciality	Dentist - General Practice
Location	Mp 388 Highway 264, Polacca, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295823219
Provider Enumeration Date: 10/11/2006
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1557806031
Enrollment ID: I20240709001359

Medical Identifiers

Medical identifiers for Nazila Mirza Bagheri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295823219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	51894 (California)	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. Nazila Mirza Bagheri allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148

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. Nazila Mirza Bagheri 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
Nazila Mirza Bagheri, DDS Po Box 1, Keams Canyon, AZ 86034-0001 Ph: (928) 737-6165	Nazila Mirza Bagheri, DDS Mp 388 Highway 264, Polacca, AZ 86042 Ph: (928) 737-6165

Reviews and Comments

Dentist in Polacca, AZ

Dr. Claudia Gail Von Hendricks, DDS Dentist Medicare: Medicare Enrolled Practice Location: Hopi Health Care Center, Hwy 264 Mm 388, Polacca, AZ 86042 Phone: 928-737-6160 Fax: 928-737-6168
Dr. Gregory Stephen Sikora, D.M.D., M.B.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: State Hwy 264, Mile Marker 388, Polacca, AZ 86042 Phone: 928-737-6165
Dr. Gary Alan Wilson, DDS Dentist Medicare: Medicare Enrolled Practice Location: Highway 264, Milepost 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6168
Dr. Mary Beth Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: Hwy 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6162
Dr. Margaret Ann Quiller, DDS Dentist Medicare: Medicare Enrolled Practice Location: Highway 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6168
Dr. Victor M. Mok, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Highway 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 505-722-1565

Nazila Mirza Bagheri, DDS - Medicare Dentist in Polacca, AZ