Seyedeh Maryam Bashiri, MD is a medicare enrolled "Hospitalist" physician in Pine Bluff, Arkansas. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Foundation and her current practice location is
4010 S Mulberry St, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 541-6000.
Seyedeh Maryam Bashiri is licensed to practice in California (license number A166072) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477900850.
Physician's Profile
Full Name | Seyedeh Maryam Bashiri |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 14 Years |
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Location | 4010 S Mulberry St, Pine Bluff, Arkansas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Seyedeh Maryam Bashiri graduated from medical school in 2010
NPI Data:
- NPI Number: 1477900850
- Provider Enumeration Date: 05/16/2016
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305195439
- Enrollment ID: I20210211002291
Medical Identifiers
Medical identifiers for Seyedeh Maryam Bashiri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477900850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A166072 (California) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | A166072 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | A166072 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Medical Foundation | 8921993205 | 1293 |
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. Seyedeh Maryam Bashiri allows following entities to bill medicare on her behalf.
Entity Name | Northbay Healthcare Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
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Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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Entity Name | Hospitalist Medicine Physicians Of California Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
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Entity Name | Hospitalist Medicine Physicians Of California - Fairfield Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487132007 PECOS PAC ID: 3779836085 Enrollment ID: O20181101002925 |
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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. Seyedeh Maryam Bashiri 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 |
Seyedeh Maryam Bashiri, MD 4010 S Mulberry St, Pine Bluff, AR 71603-7000 Ph: (870) 541-6000 | Seyedeh Maryam Bashiri, MD 4010 S Mulberry St, Pine Bluff, AR 71603-7000 Ph: (870) 541-6000 |
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