Ms Hanieh Shirgir Rotell, FNP-C is a medicare enrolled "Allergy & Immunology - Allergy" in Alpharetta, Georgia. Her current practice location is
3905 Brookside Pkwy Ste 203, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 668-4688.
Ms Hanieh Shirgir Rotell is licensed to practice in Georgia (license number RN216187) 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 1154952356.
Provider's Profile
| Full Name | Ms Hanieh Shirgir Rotell |
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| Gender | Female |
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| Speciality | Allergy & Immunology - Allergy |
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| Location | 3905 Brookside Pkwy Ste 203, Alpharetta, Georgia |
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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: 1154952356
- Provider Enumeration Date: 01/28/2020
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032573035
- Enrollment ID: I20230908003057
Medical Identifiers
Medical identifiers for Ms Hanieh Shirgir Rotell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154952356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN216187 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN216187 (Georgia) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | RN216187 (Georgia) | 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 Hanieh Shirgir Rotell allows following entities to bill medicare on her behalf.
| Entity Name | Thomas Chacko Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669986709
PECOS PAC ID: 5991040982
Enrollment ID: O20181219002143 |
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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 Hanieh Shirgir Rotell 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 |
|---|
Ms Hanieh Shirgir Rotell, FNP-C
3725 Dalwood Dr,
Suwanee, GA 30024-6642
Ph: (678) 549-2572 | Ms Hanieh Shirgir Rotell, FNP-C
3905 Brookside Pkwy Ste 203,
Alpharetta, GA 30022-4425
Ph: (678) 668-4688 |
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