Ms Shaghayegh Rezaie, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Dallas, Texas. Her current practice location is
6201 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 645-9729.
Ms Shaghayegh Rezaie is licensed to practice in Texas (license number 1021649) 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 1457944076.
Physician's Profile
| Full Name | Ms Shaghayegh Rezaie |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6201 Harry Hines Blvd, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457944076
- Provider Enumeration Date: 02/15/2021
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648675769
- Enrollment ID: I20210826002936
Medical Identifiers
Medical identifiers for Ms Shaghayegh Rezaie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457944076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | 791516 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1021649 (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. Ms Shaghayegh Rezaie allows following entities to bill medicare on her behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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| Entity Name | Talis Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821594060
PECOS PAC ID: 9234474552
Enrollment ID: O20181214000825 |
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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. Ms Shaghayegh Rezaie 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 |
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Ms Shaghayegh Rezaie, NP-C
2280 Inwood Rd,
Dallas, TX 75390-9303
Ph: (142) 645-8525 | Ms Shaghayegh Rezaie, NP-C
6201 Harry Hines Blvd,
Dallas, TX 75390-9201
Ph: (214) 645-9729 |
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