Shaghayegh Esfandnia, MD - Medicare Family Medicine in Roscoe, IL

Shaghayegh Esfandnia, MD is a medicare enrolled "Family Medicine" physician in Roscoe, Illinois. Her current practice location is 4282 E Rockton Rd, Roscoe, Illinois. You can reach out to her office (for appointments etc.) via phone at (779) 696-9000.

Shaghayegh Esfandnia is licensed to practice in Illinois (license number 036-159189) 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 1912550237.

Contact Information

Shaghayegh Esfandnia, MD
4282 E Rockton Rd,
Roscoe, IL 61073-7420
(779) 696-9000
Not Available

Map and Direction




Physician's Profile

Full NameShaghayegh Esfandnia
GenderFemale
SpecialityFamily Medicine
Location4282 E Rockton Rd, Roscoe, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912550237
  • Provider Enumeration Date: 07/17/2019
  • Last Update Date: 07/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739418302
  • Enrollment ID: I20221028002713

Medical Identifiers

Medical identifiers for Shaghayegh Esfandnia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912550237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036-159189 (Illinois)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. Shaghayegh Esfandnia allows following entities to bill medicare on her behalf.
Entity NameSwedishamerican Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012

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. Shaghayegh Esfandnia 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
Shaghayegh Esfandnia, MD
7974 Uw Health Ct,
Middleton, WI 53562-5531

Ph: (608) 829-5240
Shaghayegh Esfandnia, MD
4282 E Rockton Rd,
Roscoe, IL 61073-7420

Ph: (779) 696-9000

Reviews and Comments


Family Medicine Doctors in Roscoe, IL

Dr. Gayle R Crays, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4282 E Rockton Rd, Roscoe, IL 61073
Phone: 779-696-9000    
Marek S Bentkowski, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073
Phone: 815-525-4500    Fax: 815-525-4505
Luan Elezi, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5605 E Rockton Rd, Northpointe Clinic, Roscoe, IL 61073
Phone: 815-525-4565    Fax: 815-525-4551
Marchele A Bowen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5005 Hononegah Rd, Roscoe, IL 61073
Phone: 815-623-2555    
Jeffrey David Gurtizen, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4282 E Rockton Rd, Roscoe, IL 61073
Phone: 779-696-9000    

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.