Pollyana Marques De Moura, in Austin, TX - Medicare Dentist Provider

Pollyana Marques De Moura, is a medicare enrolled "Dentist" provider in Austin, Texas. Her current practice location is 1301 Barbara Jordan Blvd Ste 301, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 324-9999.

Pollyana Marques De Moura is licensed to practice in Texas (license number 35877) 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 1740601061.

Contact Information

	Pollyana Marques De Moura,
	1301 Barbara Jordan Blvd Ste 301, Austin, TX 78723-3078
	(512) 324-9999
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pollyana Marques De Moura
Gender	Female
Speciality	Dentist
Location	1301 Barbara Jordan Blvd Ste 301, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740601061
Provider Enumeration Date: 01/06/2014
Last Update Date: 11/04/2022

Medicare PECOS Information:

PECOS PAC ID: 6204203243
Enrollment ID: I20221104001234

Medical Identifiers

Medical identifiers for Pollyana Marques De Moura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740601061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	35877 (Texas)	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. Pollyana Marques De Moura allows following entities to bill medicare on her behalf.

Entity Name	Dell Childrens Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030

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. Pollyana Marques De Moura 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
Pollyana Marques De Moura, 11119 Alterra Pkwy Apt 2252, Austin, TX 78758-0025 Ph: (214) 606-5206	Pollyana Marques De Moura, 1301 Barbara Jordan Blvd Ste 301, Austin, TX 78723-3078 Ph: (512) 324-9999

Reviews and Comments

Dentist in Austin, TX

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Pollyana Marques De Moura, - Medicare Dentist in Austin, TX