Shabana Anjum Siddiqui, MD in La Mesa, CA - Medicare Internal Medicine

Shabana Anjum Siddiqui, MD is a medicare enrolled "Internal Medicine" physician in La Mesa, California. She went to University Of South Carolina School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice San Diego Critical Care Medical Group Inc, Emergency And Acute Care Medical Corporation and her current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 461-1920.

Shabana Anjum Siddiqui is licensed to practice in California (license number A117648) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326229295.

Contact Information

	Shabana Anjum Siddiqui, MD
	5555 Grossmont Center Dr, La Mesa, CA 91942-3019
	(619) 461-1920
	(619) 461-1919

Map and Direction

Physician's Profile

Full Name	Shabana Anjum Siddiqui
Gender	Female
Speciality	Internal Medicine
Experience	19 Years
Location	5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shabana Anjum Siddiqui attended and graduated from University Of South Carolina School Of Medicine in 2005

NPI Data:

NPI Number: 1326229295
Provider Enumeration Date: 11/20/2007
Last Update Date: 01/19/2015

Medicare PECOS Information:

PECOS PAC ID: 4082761226
Enrollment ID: I20150105001294

Medical Identifiers

Medical identifiers for Shabana Anjum Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326229295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A117648 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grossmont Hospital	La mesa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Diego Critical Care Medical Group Inc	7911083886	37
Emergency And Acute Care Medical Corporation	9537108279	382

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. Shabana Anjum Siddiqui allows following entities to bill medicare on her behalf.

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	San Diego Critical Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915990 PECOS PAC ID: 7911083886 Enrollment ID: O20090108000551

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. Shabana Anjum Siddiqui 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
Shabana Anjum Siddiqui, MD Po Box 2249, La Mesa, CA 91943-2249 Ph: (619) 461-1920	Shabana Anjum Siddiqui, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 461-1920

Reviews and Comments

Internal Medicine Doctors in La Mesa, CA

Alborz Hassankhani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-668-0044 Fax: 619-245-2481
Paul Y Abou, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-465-0711
Rosemary Ting Tu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg.#1, Suite#112, La Mesa, CA 91942 Phone: 619-469-5400 Fax: 619-464-1311
Dr. Lloyd Stuart Kuritsky, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Suite 408, La Mesa, CA 91942 Phone: 619-589-8626 Fax: 619-589-8864
Purushotham Kotha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, #400, La Mesa, CA 91942 Phone: 619-229-1995
Dr. Leila Sofia Bolandgray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-937-6349 Fax: 866-313-8916
Michael H Michalski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5358 Jackson Dr, Suite 1, La Mesa, CA 91942 Phone: 619-667-7072 Fax: 619-667-7064

Shabana Anjum Siddiqui, MD - Medicare Internal Medicine in La Mesa, CA