Sally M Roushdy, in Iowa City, IA - Medicare Dentist Provider

Sally M Roushdy, is a medicare enrolled "Dentist" provider in Iowa City, Iowa. Her current practice location is 801 Newton Road, University Of Iowa College Of Dentistry, Iowa City, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 335-3188.

Sally M Roushdy is licensed to practice in Iowa (license number FAC-40179) 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 1073029591.

Contact Information

	Sally M Roushdy,
	801 Newton Road, University Of Iowa College Of Dentistry, Iowa City, IA 52242
	(319) 335-3188
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sally M Roushdy
Gender	Female
Speciality	Dentist
Location	801 Newton Road, Iowa City, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073029591
Provider Enumeration Date: 12/20/2017
Last Update Date: 12/20/2017

Medicare PECOS Information:

PECOS PAC ID: 4486085354
Enrollment ID: I20200508000774

Medical Identifiers

Medical identifiers for Sally M Roushdy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073029591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	FAC-40179 (Iowa)	Secondary
122300000X	Dentist	FAC-40179 (Iowa)	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. Sally M Roushdy allows following entities to bill medicare on her behalf.

Entity Name	State University Of Iowa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060

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. Sally M Roushdy 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
Sally M Roushdy, 752 Westgate St, Iowa City, IA 52246-4637 Ph: (352) 281-7399	Sally M Roushdy, 801 Newton Road, University Of Iowa College Of Dentistry, Iowa City, IA 52242 Ph: (319) 335-3188

Reviews and Comments

Dentist in Iowa City, IA

Michael L Santucci, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 322 Dental Science Bldg S, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-333-7451
Dr. Justin William Nichols, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Newton Rd, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451
Dr. Uzair Ahmad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Newton Rd, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451
Dr. Stephen T Bender, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1513 Mall Dr, Iowa City, IA 52240 Phone: 319-354-1409 Fax: 319-354-3113
Dr. Thomas J. Bauer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 Dental Science S, Iowa City, IA 52242 Phone: 319-384-1139 Fax: 319-384-1785
Karin Weber-gasparoni, DDS MS PHD Dentist Medicare: Medicare Enrolled Practice Location: 322 S Dental Science Bldg, Center For Disability And Development, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451
Steven Douglas Vincent, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 S Dental Science Bldg, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451

Sally M Roushdy, - Medicare Dentist in Iowa City, IA