Dr Shaidah Deghan Manshadi, in Boston, MA

Dr Shaidah Deghan Manshadi, is a medicare enrolled "Surgery - Vascular Surgery" physician in Boston, Massachusetts. Her current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (416) 834-7334.

Dr Shaidah Deghan Manshadi is licensed to practice in ZZ (license number 112664) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528745320.

Contact Information

	Dr Shaidah Deghan Manshadi,
	55 Fruit St, Boston, MA 02114-2621
	(416) 834-7334
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shaidah Deghan Manshadi
Gender	Female
Speciality	Surgery - Vascular Surgery
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528745320
Provider Enumeration Date: 07/03/2023
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 0143754622
Enrollment ID: I20241106001042

Medical Identifiers

Medical identifiers for Dr Shaidah Deghan Manshadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528745320	NPI	-	NPPES
112664	Other		CANADIAN PHYSICIANS AND SURGEONS OF ONTARIO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	1020791 (Massachusetts)	Secondary
2086S0129X	Surgery - Vascular Surgery	112664 (ZZ)	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 Shaidah Deghan Manshadi allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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 Shaidah Deghan Manshadi 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 Shaidah Deghan Manshadi, 55 Fruit St, Boston, MA 02114-2621 Ph: () -	Dr Shaidah Deghan Manshadi, 55 Fruit St, Boston, MA 02114-2621 Ph: (416) 834-7334

Reviews and Comments

Surgery Doctors in Boston, MA

Hugh G Auchincloss, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2000
Nicole J Look-hong, MD, MSC Surgery Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-724-3868
Dr. Joanna Wolf Etra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Francis St Ste 9b, Boston, MA 02215 Phone: 617-632-9513
Huseyin Akin Erol, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500
Michael Tarnoff, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Nemc Box 7105, Boston, MA 02111 Phone: 617-636-5000
Parsia A Vagefi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2066
Wael Abdullah Alshehri, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 800 Washington St, Box 836, Boston, MA 02111 Phone: 617-636-1619

Dr Shaidah Deghan Manshadi, - Medicare Surgery in Boston, MA