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

Bijan Bastaninejad, MD is a medicare enrolled "Pediatrics" physician in Poplar Bluff, Missouri. His current practice location is 2620 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 785-7721.

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
2620 N Westwood Blvd,
Poplar Bluff, MO 63901-3396
(573) 785-7721
(573) 727-2465

Map and Direction




Physician's Profile

Full NameBijan Bastaninejad
GenderMale
SpecialityPediatrics
Location2620 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare AssignmentsMedicare 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: 11/07/2023
  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.
IdentifierTypeStateIssuer
1972589968NPI-NPPES
40113OtherMIHPM
02695054MedicaidNY
000000488786OtherOHANTHEM
4920459MedicaidMI
5202199MedicaidMI
7210867OtherOHAETNA
05227OtherOHPARAMOUNT
2678446MedicaidOH
237324OtherNYBLUECROSS BLUESHIELD
000000520832OtherOHANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 237324 (New York)Secondary
208000000XPediatrics 35.088489 (Ohio)Secondary
208M00000XHospitalist 35.088489 (Ohio)Secondary
208000000XPediatrics 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 NameBig Springs Medical Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225045321
PECOS PAC ID: 6709871007
Enrollment ID: O20040416000695
Entity NamePoplar Bluff Hma Physician Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598710147
PECOS PAC ID: 5092769703
Enrollment ID: O20050307000013
Entity NamePoplar Bluff Regional Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750797775
PECOS PAC ID: 6800707225
Enrollment ID: O20071116000008
Entity NameButler Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982056545
PECOS PAC ID: 6608164561
Enrollment ID: O20161007001160
Entity NameSt Louis Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Bijan Bastaninejad, MD
Po Box 1308,
Poplar Bluff, MO 63902-1308

Ph: (573) 843-8380
Bijan Bastaninejad, MD
2620 N Westwood Blvd,
Poplar Bluff, MO 63901-3396

Ph: (573) 785-7721

Reviews and Comments


Pediatrics Doctors in Poplar Bluff, MO

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 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Mr. Joseph P Fernando, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2340 Katy Ln, Suite 120, Poplar Bluff, MO 63901
Phone: 573-776-7393    Fax: 573-776-7396
Dr. Shaun A Ross, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Roger Kingsley Bost, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 686 Lester St, Poplar Bluff, MO 63901
Phone: 573-686-2411    Fax: 573-686-8452

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.