Ayesha Tabassom, - Medicare Emergency Medicine in Daytona Beach, FL

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Ayesha Tabassom, is a medicare enrolled "Emergency Medicine" physician in Daytona Beach, Florida. Her current practice location is 222 S Peninsula Dr, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 310-2160.

Ayesha Tabassom is licensed to practice in Florida (license number ME166083) 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 1033558630.

Contact Information

Ayesha Tabassom,
222 S Peninsula Dr,
Daytona Beach, FL 32118-4422
(386) 310-2160
(386) 310-2106

Map and Direction




Physician's Profile

Full NameAyesha Tabassom
GenderFemale
SpecialityEmergency Medicine
Location222 S Peninsula Dr, Daytona Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033558630
  • Provider Enumeration Date: 06/18/2013
  • Last Update Date: 03/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375839897
  • Enrollment ID: I20191007000615

Medical Identifiers

Medical identifiers for Ayesha Tabassom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033558630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 312453 (Louisiana)Secondary
207Q00000XFamily Medicine 312453 (Louisiana)Secondary
207P00000XEmergency Medicine ME166083 (Florida)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. Ayesha Tabassom allows following entities to bill medicare on her behalf.
Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307
Entity NameCross Lake Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013497114
PECOS PAC ID: 5395096440
Enrollment ID: O20180928000987

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. Ayesha Tabassom 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
Ayesha Tabassom,
222 S Peninsula Dr,
Daytona Beach, FL 32118-4422

Ph: (386) 310-2160		Ayesha Tabassom,
222 S Peninsula Dr,
Daytona Beach, FL 32118-4422

Ph: (386) 310-2160

Reviews and Comments


Emergency Medicine Doctors in Daytona Beach, FL

Cheryl Marie Moses, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-254-4000    
Dr. Peter Springer, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-254-2285    Fax: 386-425-1304
Omaid Tariq,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118
Phone: 386-310-2160    Fax: 386-310-2106
Dr. Rewadee Soontharothai, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114
Phone: 386-425-2285    Fax: 386-425-7522
Dr. Cindy May Hird, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114
Phone: 386-425-2285    Fax: 386-425-7522
Jared J Rich, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118
Phone: 386-310-2160    Fax: 386-310-2106

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.