Shima Phoenix, DMD - Medicare Dentist in Mount Vernon, IL

Shima Phoenix, DMD is a medicare enrolled "Dentist" provider in Mount Vernon, Illinois. Her current practice location is 4201 Broadway St, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 241-0997.

Shima Phoenix is licensed to practice in Illinois (license number 019.030430) 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 1588040976.

Contact Information

Shima Phoenix, DMD
4201 Broadway St,
Mount Vernon, IL 62864-2282
(618) 241-0997
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShima Phoenix
GenderFemale
SpecialityDentist
Location4201 Broadway St, Mount Vernon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588040976
  • Provider Enumeration Date: 08/07/2015
  • Last Update Date: 08/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8224387915
  • Enrollment ID: I20180813003479

Medical Identifiers

Medical identifiers for Shima Phoenix such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588040976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019.030430 (Illinois)Primary

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. Shima Phoenix 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 AddressPractice Location Address
Shima Phoenix, DMD
4201 Broadway St,
Mount Vernon, IL 62864-2282

Ph: (618) 241-0997
Shima Phoenix, DMD
4201 Broadway St,
Mount Vernon, IL 62864-2282

Ph: (618) 241-0997

Reviews and Comments


Dentist in Mount Vernon, IL

Alan D. Willis, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1915 Broadway St, Mount Vernon, IL 62864
Phone: 618-242-5600    
Dr. Tyson Wayne Tinsley, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4214 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-244-6912    Fax: 618-244-7540
Dr. Michael Wesley Neal, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3 Doctors Park Rd, Mount Vernon, IL 62864
Phone: 618-242-5054    
Dr. Arthur Edward Ronat, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1720 Broadway St, Mount Vernon, IL 62864
Phone: 618-244-3535    Fax: 628-244-4342
Dr. Michael R Hiner, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1704 Jefferson Ave, Mount Vernon, IL 62864
Phone: 618-244-2440    Fax: 618-244-0607
Dr. Kathleen S Renner, D.M.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 4201 Williamson Pl, Mount Vernon, IL 62864
Phone: 618-244-5120    
Dr. Roger Blair Woodrome, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4214 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-244-6912    Fax: 618-244-7540

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.