Dr Shahriar A Nabizadeh, MD is a medicare enrolled "Hospitalist" physician in Green Cove Springs, Florida. His current practice location is
801 Oak St, Green Cove Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 723-5665.
Dr Shahriar A Nabizadeh is licensed to practice in Florida (license number ME72727) 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 1396775730.
Physician's Profile
| Full Name | Dr Shahriar A Nabizadeh |
|---|
| Gender | Male |
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| Speciality | Hospitalist |
|---|
| Location | 801 Oak St, Green Cove Springs, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396775730
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971697764
- Enrollment ID: I20070925000074
Medical Identifiers
Medical identifiers for Dr Shahriar A Nabizadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396775730 | NPI | - | NPPES |
| 250010395 | Other | FL | MEDICARE RAILROAD |
| 252411200 | Other | FL | MEDIPASS |
| 373007700 | Other | FL | DEPT OF LABOR WORKCOMP |
| 593590543 | Other | FL | UNITED HEALTHCARE |
| 2168186 | Other | FL | AETNA |
| 593590543 | Other | FL | CIGNA |
| 235909 | Other | FL | AVMED HMO |
| 252411200 | Medicaid | FL | |
| 41489 | Other | FL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | ME72727 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME72727 (Florida) | 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. Dr Shahriar A Nabizadeh allows following entities to bill medicare on his behalf.
| Entity Name | Shahriar A Nabizadeh Md P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982890687
PECOS PAC ID: 0941395420
Enrollment ID: O20070928000000 |
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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 Shahriar A Nabizadeh 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 Shahriar A Nabizadeh, MD
Po Box 16373,
Jacksonville, FL 32245-6373
Ph: (904) 723-5665 | Dr Shahriar A Nabizadeh, MD
801 Oak St,
Green Cove Springs, FL 32043-4317
Ph: (904) 723-5665 |
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