Hesham Sawisi Abugufa, in Loma Linda, CA - Medicare Dentist Provider

Hesham Sawisi Abugufa, is a medicare enrolled "Dentist" provider in Loma Linda, California. His current practice location is 11201 Benton St, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 825-7084.

Hesham Sawisi Abugufa is licensed to practice in California (license number 108556) 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 1538875794.

Contact Information

	Hesham Sawisi Abugufa,
	11201 Benton St, Loma Linda, CA 92357-1347
	(909) 825-7084
	Not Available

Healthcare Provider's Profile

Full Name	Hesham Sawisi Abugufa
Gender	Male
Speciality	Dentist
Location	11201 Benton St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538875794
Provider Enumeration Date: 01/30/2023
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3274988712
Enrollment ID: I20231018001981

Medical Identifiers

Medical identifiers for Hesham Sawisi Abugufa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538875794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019.033997 (Illinois)	Secondary
122300000X	Dentist	108556 (California)	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. Hesham Sawisi Abugufa 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
Hesham Sawisi Abugufa, 1905 Orange Ave Apt 506, Redlands, CA 92373-5394 Ph: (562) 826-9358	Hesham Sawisi Abugufa, 11201 Benton St, Loma Linda, CA 92357-1347 Ph: (909) 825-7084

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Dentist in Loma Linda, CA

Tina Mieun Park-lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 26554 Amherst Ct, Loma Linda, CA 92354 Phone: 909-769-8077
Dr. Robert D Kiger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Dental Service 160, Loma Linda Vamc, Loma Linda, CA 92357 Phone: 909-583-6127
Dr. Gi Sun Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10935 Rincon St, Loma Linda, CA 92354 Phone: 909-967-3623
David Roquiz, Dentist Medicare: Medicare Enrolled Practice Location: 11132 Morningstar Pl, Loma Linda, CA 92354 Phone: 863-414-0752
Paul Jung, DDS MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11092 Anderson St Rm 3306, Loma Linda, CA 92350 Phone: 909-558-4671
Dr. Jeffrey Martin Henkin, DDS, MS, FICD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24860 Taylor St, Loma Linda, CA 92350 Phone: 909-558-4610 Fax: 909-558-4801
Jessica Junghwa Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11092 Anderson Street, Llu School Of Dentistry, Loma Linda, CA 95350 Phone: 909-558-4613 Fax: 909-558-4192

Hesham Sawisi Abugufa, - Medicare Dentist in Loma Linda, CA