Dr Shamir Sevilla Perez, DDS is a medicare enrolled "Dentist - General Practice" provider in Niobrara, Nebraska. His current practice location is
110 S Visiting Eagle St, Niobrara, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 857-2902.
Dr Shamir Sevilla Perez is licensed to practice in California (license number 60957) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992077572.
Healthcare Provider's Profile
| Full Name | Dr Shamir Sevilla Perez |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 110 S Visiting Eagle St, Niobrara, Nebraska |
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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: 1992077572
- Provider Enumeration Date: 01/30/2012
- Last Update Date: 01/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 6406097146
- Enrollment ID: I20130723000774
Medical Identifiers
Medical identifiers for Dr Shamir Sevilla Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992077572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 60957 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 27490 (Texas) | Secondary |
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. Dr Shamir Sevilla Perez allows following entities to bill medicare on his behalf.
| Entity Name | Mendocino Community Health Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497961106
PECOS PAC ID: 6305755455
Enrollment ID: O20040826001483 |
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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. Dr Shamir Sevilla Perez 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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Dr Shamir Sevilla Perez, DDS
110 S. Visiting Eagle St.,
Niobrara, NE 68760
Ph: (402) 857-2902 | Dr Shamir Sevilla Perez, DDS
110 S Visiting Eagle St,
Niobrara, NE 68760-7201
Ph: (402) 857-2902 |
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