Sanam Baghshomali, in Philadelphia, PA - Medicare Psychiatry & Neurology

Sanam Baghshomali, is a medicare enrolled "Psychiatry & Neurology - Neurocritical Care" physician in Philadelphia, Pennsylvania. Her current practice location is 3509 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3040.

Sanam Baghshomali is licensed to practice in Indiana (license number 01091792A) 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 1922234830.

Contact Information

	Sanam Baghshomali,
	3509 N Broad St, Philadelphia, PA 19140-4105
	(215) 707-3040
	(215) 707-8235

Map and Direction

Physician's Profile

Full Name	Sanam Baghshomali
Gender	Female
Speciality	Psychiatry & Neurology - Neurocritical Care
Location	3509 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922234830
Provider Enumeration Date: 06/05/2009
Last Update Date: 01/02/2024

Medicare PECOS Information:

PECOS PAC ID: 3870714645
Enrollment ID: I20141020001335

Medical Identifiers

Medical identifiers for Sanam Baghshomali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922234830	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	MD454539 (Pennsylvania)	Secondary
2084V0102X	Psychiatry & Neurology - Vascular Neurology	MD454539 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084A2900X	Psychiatry & Neurology - Neurocritical Care	01091792A (Indiana)	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. Sanam Baghshomali allows following entities to bill medicare on her behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

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. Sanam Baghshomali 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
Sanam Baghshomali, 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-8561	Sanam Baghshomali, 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-3040

Reviews and Comments

Psychiatry & Neurology Doctors in Philadelphia, PA

Dr. Sydney E Pulver, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Locust St, Suite 2, Philadelphia, PA 19103 Phone: 215-545-7717
Meredith A Spindler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Padrecc, #127, Philadelphia, PA 19104 Phone: 215-823-5800 Fax: 215-823-5815
Dr. Ly Thien Ngo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107 Phone: 215-955-1234 Fax: 215-923-6792
Dr. Samantha Megan Wyckoff, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 111 N 49th St, Philadelphia, PA 19139 Phone: 215-471-2600
Robert Eric Simons, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200
Eileen Zhou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200
Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086

Sanam Baghshomali, - Medicare Psychiatry & Neurology in Philadelphia, PA