Noura Fadel, DDS FAGD is a medicare enrolled "Advanced Practice Dental Therapist" provider in Redlands, California. Her current practice location is
720 Brookside Ave Ste 100, Redlands, California. You can reach out to her office (for appointments etc.) via phone at
(585) 770-0592.
Noura Fadel is licensed to practice in California (license number 103342) 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 1881826931.
Healthcare Provider's Profile
Full Name | Noura Fadel |
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Gender | Female |
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Speciality | Advanced Practice Dental Therapist |
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Location | 720 Brookside Ave Ste 100, Redlands, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881826931
- Provider Enumeration Date: 08/21/2009
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608210109
- Enrollment ID: I20240222002737
Medical Identifiers
Medical identifiers for Noura Fadel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881826931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 103342 (California) | Secondary |
125K00000X | Advanced Practice Dental Therapist | 103342 (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. Noura Fadel allows following entities to bill medicare on her behalf.
Entity Name | Noura Fadel Rateb Dds Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679216253 PECOS PAC ID: 5799129292 Enrollment ID: O20240222002613 |
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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. Noura Fadel 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 |
Noura Fadel, DDS FAGD 720 Brookside Ave Ste 100, Redlands, CA 92373-5189 Ph: (909) 488-0222 | Noura Fadel, DDS FAGD 720 Brookside Ave Ste 100, Redlands, CA 92373-5189 Ph: (585) 770-0592 |
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