Dr Shiva Rezvanian, MD in Phillipsburg, NJ - Medicare Internal Medicine

Dr Shiva Rezvanian, MD is a medicare enrolled "Internal Medicine" physician in Phillipsburg, New Jersey. Her current practice location is 185 Roseberry St, Phillipsburg, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 835-1910.

Dr Shiva Rezvanian is licensed to practice in New Jersey (license number N-A) 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 1043421811.

Contact Information

	Dr Shiva Rezvanian, MD
	185 Roseberry St, Phillipsburg, NJ 08865-1690
	(908) 835-1910
	(908) 835-1886

Map and Direction

Physician's Profile

Full Name	Dr Shiva Rezvanian
Gender	Female
Speciality	Internal Medicine
Location	185 Roseberry St, Phillipsburg, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043421811
Provider Enumeration Date: 05/24/2007
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 2264575596
Enrollment ID: I20120329000882

Medical Identifiers

Medical identifiers for Dr Shiva Rezvanian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043421811	NPI	-	NPPES
218847	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	N-A (New Jersey)	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 Shiva Rezvanian allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Shiva Rezvanian 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 Shiva Rezvanian, MD Po Box 6801, Bridgewater, NJ 08807-0801 Ph: (908) 387-6611	Dr Shiva Rezvanian, MD 185 Roseberry St, Phillipsburg, NJ 08865-1690 Ph: (908) 835-1910

Reviews and Comments

Internal Medicine Doctors in Phillipsburg, NJ

Dr. Arthur H Popkave, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coventry Dr, Phillipsburg, NJ 08865 Phone: 908-859-3800 Fax: 908-859-4310
Dr. Kishorkumar Gurdnandas Nar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96 Baltimore St, A, Phillipsburg, NJ 08865 Phone: 908-454-2212 Fax: 908-454-1218
Dr. Dhyanesh C Pandya, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 484-526-6643 Fax: 484-526-4658
Yogesh Viroja, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy, Suite 203, Phillipsburg, NJ 08865 Phone: 908-859-4446 Fax: 908-859-1569
Blaise P Latriano, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6779 Fax: 908-859-6813
Karen L Hotchkin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 Strykers Rd, Phillipsburg, NJ 08865 Phone: 908-859-6568 Fax: 908-859-6697

Dr Shiva Rezvanian, MD - Medicare Internal Medicine in Phillipsburg, NJ