Dr Samira Khazravan, MD - Medicare Internal Medicine in Jacksonville, FL

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Dr Samira Khazravan, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Jacksonville, Florida. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Florida Post Acute Medical Services 1 Pa and her current practice location is 1200 Riverplace Blvd, 620, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 396-6620.

Dr Samira Khazravan is licensed to practice in Florida (license number ME100775) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942494984.

Contact Information

Dr Samira Khazravan, MD
1200 Riverplace Blvd, 620,
Jacksonville, FL 32207-9046
(904) 396-6620
(904) 396-6528

Map and Direction




Physician's Profile

Full NameDr Samira Khazravan
GenderFemale
SpecialityInternal Medicine
Experience23 Years
Location1200 Riverplace Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samira Khazravan graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1942494984
  • Provider Enumeration Date: 09/04/2007
  • Last Update Date: 11/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9335218676
  • Enrollment ID: I20081114000554

Medical Identifiers

Medical identifiers for Dr Samira Khazravan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942494984NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 245885 (New York)Secondary
207RG0300XInternal Medicine - Geriatric Medicine ME100775 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Hospice Of Northeast Florida IncJacksonville, FLHospice
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice
Consulate Health Care Of Orange ParkOrange park, FLNursing home
Life Care Center At Wells CrossingOrange park, FLNursing home
Park Ridge Nursing CenterJacksonville, FLNursing home
Fountains Rehabilitation At Mill CoveJacksonville, FLNursing home
Governors Creek Health And RehabilitationGreen cove springs, FLNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Post Acute Medical Services 1 Pa256772939545

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. Dr Samira Khazravan allows following entities to bill medicare on her behalf.
Entity NameInpatient Consultants Of Florida, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018
Entity NameFlorida Post Acute Medical Services 1 Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255862439
PECOS PAC ID: 2567729395
Enrollment ID: O20171201002143
Entity NameCa Pacs 2 Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801372669
PECOS PAC ID: 4981954476
Enrollment ID: O20200504000150
Entity NameCs Pacs 3 Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154104958
PECOS PAC ID: 8426404302
Enrollment ID: O20231030000425

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 Samira Khazravan 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
Dr Samira Khazravan, MD
1200 Riverplace Blvd, 620,
Jacksonville, FL 32207-9046

Ph: (904) 396-6620		Dr Samira Khazravan, MD
1200 Riverplace Blvd, 620,
Jacksonville, FL 32207-9046

Ph: (904) 396-6620

Reviews and Comments


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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.