Shaina Immaculee Henriquez, - Medicare Dentist in Roxbury, MA

Shaina Immaculee Henriquez, is a medicare enrolled "Dentist" provider in Roxbury, Massachusetts. Her current practice location is 45 Dimock St, Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 442-8800.

Shaina Immaculee Henriquez is licensed to practice in Massachusetts (license number DN1858588) 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 1043748254.

Contact Information

Shaina Immaculee Henriquez,
45 Dimock St,
Roxbury, MA 02119-1208
(617) 442-8800
(617) 541-0950



Healthcare Provider's Profile

Full NameShaina Immaculee Henriquez
GenderFemale
SpecialityDentist
Location45 Dimock St, Roxbury, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043748254
  • Provider Enumeration Date: 06/01/2017
  • Last Update Date: 07/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507271251
  • Enrollment ID: I20210921002889

Medical Identifiers

Medical identifiers for Shaina Immaculee Henriquez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043748254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DN1858588 (Massachusetts)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. Shaina Immaculee Henriquez allows following entities to bill medicare on her behalf.
Entity NameDimock Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588719488
PECOS PAC ID: 7012810492
Enrollment ID: O20040202000242

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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. Shaina Immaculee Henriquez 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
Shaina Immaculee Henriquez,
4608 Sw College Rd,
Ocala, FL 34474-5720

Ph: () -
Shaina Immaculee Henriquez,
45 Dimock St,
Roxbury, MA 02119-1208

Ph: (617) 442-8800

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Dentist in Roxbury, MA

Susana Tejada, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 45 Dimock St, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-442-4088
Kathryn Stahlhuth Holthaus, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2181 Washington St, Roxbury, MA 02119
Phone: 617-606-3049    
Dr. Paritosh Amburle, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3033 Washington St, Roxbury, MA 02119
Phone: 617-541-2200    
Joyce S Gitangu, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2181 Washington St, 101, Roxbury, MA 02119
Phone: 617-427-5665    
Anna Pietrantoni, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3033 Washington St, Roxbury, MA 02119
Phone: 617-541-2200    
Shireen Khan, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 45 Dimock St, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-541-0950

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