Dr Shahram Jay Mirmanesh, MD, MBA in Marlton, NJ

Dr Shahram Jay Mirmanesh, MD, MBA is a medicare enrolled "Pediatrics" physician in Marlton, New Jersey. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Advocare Llc and his current practice location is 12000 Lincoln Dr W, Suite 311, Marlton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 985-8100.

Dr Shahram Jay Mirmanesh is licensed to practice in New Jersey (license number 25MA05186900) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750335360.

Contact Information

	Dr Shahram Jay Mirmanesh, MD, MBA
	12000 Lincoln Dr W, Suite 311, Marlton, NJ 08053-3402
	(856) 985-8100
	(856) 985-8374

Map and Direction

Physician's Profile

Full Name	Dr Shahram Jay Mirmanesh
Gender	Male
Speciality	Pediatric Medicine
Experience	41 Years
Location	12000 Lincoln Dr W, Marlton, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shahram Jay Mirmanesh graduated from medical school in 1983

NPI Data:

NPI Number: 1750335360
Provider Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799958492
Enrollment ID: I20111025000258

Medical Identifiers

Medical identifiers for Dr Shahram Jay Mirmanesh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750335360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	25MA05186900 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocare Llc	3678562188	288

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 Shahram Jay Mirmanesh allows following entities to bill medicare on his behalf.

Entity Name	Advocare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217

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 Shahram Jay Mirmanesh 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 Shahram Jay Mirmanesh, MD, MBA 3 Woodbrook Rd, Voorhees, NJ 08043-2840 Ph: (856) 768-5336	Dr Shahram Jay Mirmanesh, MD, MBA 12000 Lincoln Dr W, Suite 311, Marlton, NJ 08053-3402 Ph: (856) 985-8100

Reviews and Comments

Pediatrics Doctors in Marlton, NJ

Dr. Catherine Daphne Nicolaides, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 733 E Route 70, Building 2, Suite 201, Marlton, NJ 08053 Phone: 856-983-6675 Fax: 856-983-5243
Dr. Howard S Waxman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Route 73 S, Suite 102, Marlton, NJ 08053 Phone: 856-596-3434 Fax: 856-596-9110
Dr. Carmine Donato Monaco, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 750 Route 73 S, Ste 307a, Marlton, NJ 08053 Phone: 856-983-9666 Fax: 856-983-2662
Dr. Bryan H Levey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 475 Old Marlton Pike W, Suite 4, Marlton, NJ 08053 Phone: 609-662-5437 Fax: 609-858-6120
Amandeep Sandhu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 54 E Main St, Marlton, NJ 08053 Phone: 856-988-0570
Devon Elizabeth Ganter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 651 Route 73 N Ste 311, Marlton, NJ 08053 Phone: 856-985-8100
Dr. Benjamin A Rosenblum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Old Marlton Pike W, Suite 1, Marlton, NJ 08053 Phone: 856-988-9101 Fax: 856-988-7712

Dr Shahram Jay Mirmanesh, MD, MBA - Medicare Pediatric Medicine in Marlton, NJ