Dr Hamidreza Ebneshahidi, MD is a medicare enrolled "General Practice" physician in Debary, Florida. His current practice location is
110 Pond Ct Ste 301, Debary, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 259-4258.
Dr Hamidreza Ebneshahidi is licensed to practice in Florida (license number ACN1122) 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 1710473889.
Physician's Profile
| Full Name | Dr Hamidreza Ebneshahidi |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 110 Pond Ct Ste 301, Debary, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710473889
- Provider Enumeration Date: 07/02/2018
- Last Update Date: 11/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688919954
- Enrollment ID: I20181214002889
Medical Identifiers
Medical identifiers for Dr Hamidreza Ebneshahidi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710473889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | ACN1122 (Florida) | Primary |
| 208D00000X | General Practice | 19992 (Puerto Rico) | Secondary |
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. Dr Hamidreza Ebneshahidi 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 |
Dr Hamidreza Ebneshahidi, MD 110 Pond Ct Ste 301, Debary, FL 32713-2717 Ph: (386) 259-4258 | Dr Hamidreza Ebneshahidi, MD 110 Pond Ct Ste 301, Debary, FL 32713-2717 Ph: (386) 259-4258 |
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