Arezo Hesaraki, DDS in Rolla, MO - Medicare Dentist Provider

Arezo Hesaraki, DDS is a medicare enrolled "Dentist - General Practice" provider in Rolla, Missouri. Her current practice location is 1050 W 10th St, Ste 480, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 426-4455.

Arezo Hesaraki is licensed to practice in Kansas (license number 61113) 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 1174928857.

Contact Information

	Arezo Hesaraki, DDS
	1050 W 10th St, Ste 480, Rolla, MO 65401-2905
	(573) 426-4455
	(573) 426-4454

Map and Direction

Healthcare Provider's Profile

Full Name	Arezo Hesaraki
Gender	Female
Speciality	Dentist - General Practice
Location	1050 W 10th St, Rolla, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174928857
Provider Enumeration Date: 10/23/2014
Last Update Date: 10/11/2019

Medicare PECOS Information:

PECOS PAC ID: 3577852417
Enrollment ID: I20160517001810

Medical Identifiers

Medical identifiers for Arezo Hesaraki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174928857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2014031462 (Missouri)	Secondary
1223G0001X	Dentist - General Practice	61113 (Kansas)	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. Arezo Hesaraki allows following entities to bill medicare on her behalf.

Entity Name	Swope Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861587511 PECOS PAC ID: 5294644530 Enrollment ID: O20110921000686

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. Arezo Hesaraki 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
Arezo Hesaraki, DDS 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 Ph: (573) 426-4455	Arezo Hesaraki, DDS 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 Ph: (573) 426-4455

Reviews and Comments

Dentist in Rolla, MO

Dr. William Bernard Moorkamp Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 912 N Cedar St, Rolla, MO 65401 Phone: 573-364-1345 Fax: 573-364-4764
David Dumbach, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 573-426-2407 Fax: 573-426-6723
Michael Wayne Malone, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 800 North State Street, Rolla, MO 65401 Phone: 573-364-2575 Fax: 573-364-1831
Dr. David Allen Galvan, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1016 S Bishop Ave, Rolla, MO 65401 Phone: 573-341-3383 Fax: 573-341-3485
Dr. Steven Thomas Atkinson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1491 E 10th St, Rolla, MO 65401 Phone: 573-364-2868
Dr. Melissa Selene Olvera, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 S Bishop Ave, Rolla, MO 65401 Phone: 573-426-5447 Fax: 573-426-5659

Arezo Hesaraki, DDS - Medicare Dentist in Rolla, MO