Shabnam Nourparvar, MD in Fayetteville, GA - Medicare Emergency Medicine

Shabnam Nourparvar, MD is a medicare enrolled "Emergency Medicine" physician in Fayetteville, Georgia. Her current practice location is 1255 Ga-54, Emergency Department, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 491-7152.

Shabnam Nourparvar is licensed to practice in Georgia (license number 75797) 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 1689902660.

Contact Information

	Shabnam Nourparvar, MD
	1255 Ga-54, Emergency Department, Fayetteville, GA 30214
	(678) 491-7152
	Not Available

Map and Direction

Physician's Profile

Full Name	Shabnam Nourparvar
Gender	Female
Speciality	Emergency Medicine
Location	1255 Ga-54, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689902660
Provider Enumeration Date: 12/02/2009
Last Update Date: 03/06/2023

Medicare PECOS Information:

PECOS PAC ID: 4284937343
Enrollment ID: I20221222002282

Medical Identifiers

Medical identifiers for Shabnam Nourparvar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689902660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	67247 (Tennessee)	Secondary
207P00000X	Emergency Medicine	75797 (Georgia)	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. Shabnam Nourparvar allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997

Entity Name	App Of Tennessee Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159

Entity Name	Tri-cities Regional Emergency Physicians, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399

Entity Name	App Of East Tennessee Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326695537 PECOS PAC ID: 6800127796 Enrollment ID: O20191007003318

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. Shabnam Nourparvar 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
Shabnam Nourparvar, MD 1255 Ga-54, Emergency Department, Fayetteville, GA 30214 Ph: (678) 491-7152	Shabnam Nourparvar, MD 1255 Ga-54, Emergency Department, Fayetteville, GA 30214 Ph: (678) 491-7152

Reviews and Comments

Emergency Medicine Doctors in Fayetteville, GA

Dr. Robin Lowman White, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6911
Dr. Chionesu Sonyika, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-229-6911
Dr. Salih O Faldon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, 506, Fayetteville, GA 30214 Phone: 678-817-9255 Fax: 678-817-9295
Frank Brown, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Eastbrook Bend, Suite B, Fayetteville, GA 30214 Phone: 404-605-3297
Brooke Augustin-coley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6911
Dr. Ajala Osagie, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6911
Dr. Christopher Perez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 874 Lanier Ave W Ste 220, Fayetteville, GA 30214 Phone: 678-833-1444 Fax: 678-833-1444

Shabnam Nourparvar, MD - Medicare Emergency Medicine in Fayetteville, GA