Jaafar Bermani, MD is a medicare enrolled "Surgery" physician in East St Louis, Illinois. His current practice location is
129 N 8th St, East St Louis, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 482-7242.
Jaafar Bermani is licensed to practice in Illinois (license number 036052408) 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 1699779033.
Physician's Profile
| Full Name | Jaafar Bermani |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 129 N 8th St, East St Louis, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699779033
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 06/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 4385602655
- Enrollment ID: I20050103000903
Medical Identifiers
Medical identifiers for Jaafar Bermani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699779033 | NPI | - | NPPES |
| 036052408 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | A29471 (California) | Secondary |
| 208600000X | Surgery | 036052408 (Illinois) | 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. Jaafar Bermani allows following entities to bill medicare on his behalf.
| Entity Name | Sanburg Emergency Group, P.C. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992337000 PECOS PAC ID: 4688003957 Enrollment ID: O20200408000461 |
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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. Jaafar Bermani 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 |
Jaafar Bermani, MD 14351 Clarissa Ln, Tustin, CA 92780-2211 Ph: (714) 731-2030 | Jaafar Bermani, MD 129 N 8th St, East St Louis, IL 62201 Ph: (618) 482-7242 |
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