Bijan Bastaninejad, MD in Poplar Bluff, MO

Bijan Bastaninejad, MD is a medicare enrolled "Pediatrics" physician in Poplar Bluff, Missouri. His current practice location is 2879 James Blvd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 712-1610.

Bijan Bastaninejad is licensed to practice in Missouri (license number 2009039681) 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 1972589968.

Contact Information

	Bijan Bastaninejad, MD
	2879 James Blvd, Poplar Bluff, MO 63901-3395
	(573) 712-1610
	(573) 776-6124

Map and Direction

Physician's Profile

Full Name	Bijan Bastaninejad
Gender	Male
Speciality	Pediatrics
Location	2879 James Blvd, Poplar Bluff, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972589968
Provider Enumeration Date: 12/21/2005
Last Update Date: 06/17/2026

Medicare PECOS Information:

PECOS PAC ID: 2961423264
Enrollment ID: I20100519000419

Medical Identifiers

Medical identifiers for Bijan Bastaninejad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972589968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2009039681 (Missouri)	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. Bijan Bastaninejad allows following entities to bill medicare on his behalf.

Entity Name	Big Springs Medical Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695

Entity Name	Poplar Bluff Hma Physician Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598710147 PECOS PAC ID: 5092769703 Enrollment ID: O20050307000013

Entity Name	Poplar Bluff Regional Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750797775 PECOS PAC ID: 6800707225 Enrollment ID: O20071116000008

Entity Name	Butler Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982056545 PECOS PAC ID: 6608164561 Enrollment ID: O20161007001160

Entity Name	St Louis Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902500630 PECOS PAC ID: 5193185601 Enrollment ID: O20230715000583

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. Bijan Bastaninejad 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
Bijan Bastaninejad, MD 110 S 2nd St, Ellington, MO 63638-9400 Ph: (573) 663-2313	Bijan Bastaninejad, MD 2879 James Blvd, Poplar Bluff, MO 63901-3395 Ph: (573) 712-1610

Reviews and Comments

Pediatrics Doctors in Poplar Bluff, MO

Sushmita Thota, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2879 James Blvd, Poplar Bluff, MO 63901 Phone: 573-712-1610 Fax: 573-776-6124
Dr. Martha J Margreiter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 200, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-313-3684
Dr. Derry Dean Dye Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 200, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-313-3684
Dr. Rangsan Suvan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Lucy Lee Parkway, Poplar Bluff, MO 63901 Phone: 573-686-2585 Fax: 573-686-4415
Dr. Claudia Karin Preuschoff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599
Gift Adanma Onyenso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599
Dr. Debra Ann Robertson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 200, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-313-3684

Bijan Bastaninejad, MD - Medicare Pediatrics in Poplar Bluff, MO