Roanne Shoubaki, in Georgetown, TX - Medicare Dentist Provider

Roanne Shoubaki, is a medicare enrolled "Dentist - General Practice" provider in Georgetown, Texas. Her current practice location is 2411 Williams Dr Ste 111, Georgetown, Texas. You can reach out to her office (for appointments etc.) via phone at (877) 800-5722.

Roanne Shoubaki is licensed to practice in Texas (license number 39434) 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 1053005504.

Contact Information

	Roanne Shoubaki,
	2411 Williams Dr Ste 111, Georgetown, TX 78628-3268
	(877) 800-5722
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Roanne Shoubaki
Gender	Female
Speciality	Dentist - General Practice
Location	2411 Williams Dr Ste 111, Georgetown, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053005504
Provider Enumeration Date: 06/07/2023
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5395199046
Enrollment ID: I20230928002034

Medical Identifiers

Medical identifiers for Roanne Shoubaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053005504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	39434 (Texas)	Secondary
1223G0001X	Dentist - General Practice	39434 (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. Roanne Shoubaki allows following entities to bill medicare on her behalf.

Entity Name	Lone Star Circle Of Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184

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. Roanne Shoubaki 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
Roanne Shoubaki, 205 E University Ave Ste 200, Georgetown, TX 78626-6821 Ph: () -	Roanne Shoubaki, 2411 Williams Dr Ste 111, Georgetown, TX 78628-3268 Ph: (877) 800-5722

Reviews and Comments

Dentist in Georgetown, TX

Dr. Jonathan A. Levey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Wildwood Dr Ste 216, Georgetown, TX 78633 Phone: 512-942-6729 Fax: 512-942-6846
Dr. Timothy R Collins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 800 Lakeway Dr, Georgetown, TX 78628 Phone: 512-863-6113
Dr. Joceylin Huang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 113 E University Ave, Georgetown, TX 78626 Phone: 512-863-3379
Dr. Andrew Edmonds, D.M.D. Dentist Medicare: May Accept Medicare Assignments Practice Location: 4405 Williams Dr Ste 300, Georgetown, TX 78628 Phone: 512-855-7308
Dr. Ryan Payne Roberson, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3006 Dawn Dr, Georgetown, TX 78628 Phone: 512-869-5997 Fax: 512-869-2036
Dr. David R Hennington, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2425 Williams Dr, Ste E, Georgetown, TX 78628 Phone: 512-863-6888 Fax: 512-869-8934

Roanne Shoubaki, - Medicare Dentist in Georgetown, TX