Shala Rahbar Fardin, MD in Sausalito, CA

Shala Rahbar Fardin, MD is a medicare enrolled "Dermatology" physician in Sausalito, California. Her current practice location is 2330 Marinship Way Ste 370, Sausalito, California. You can reach out to her office (for appointments etc.) via phone at (415) 887-9758.

Shala Rahbar Fardin is licensed to practice in California (license number A98841) 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 1720114432.

Contact Information

	Shala Rahbar Fardin, MD
	2330 Marinship Way Ste 370, Sausalito, CA 94965-2853
	(415) 887-9758
	(415) 887-9763

Map and Direction

Physician's Profile

Full Name	Shala Rahbar Fardin
Gender	Female
Speciality	Dermatology
Location	2330 Marinship Way Ste 370, Sausalito, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720114432
Provider Enumeration Date: 02/26/2007
Last Update Date: 09/24/2013

Medicare PECOS Information:

PECOS PAC ID: 6800978164
Enrollment ID: I20090715000698

Medical Identifiers

Medical identifiers for Shala Rahbar Fardin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720114432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	P-230971 (Massachusetts)	Secondary
207N00000X	Dermatology	A98841 (California)	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. Shala Rahbar Fardin allows following entities to bill medicare on her behalf.

Entity Name	Southern Marin Dermatology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487090924 PECOS PAC ID: 2668614447 Enrollment ID: O20130807000186

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. Shala Rahbar Fardin 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
Shala Rahbar Fardin, MD 2330 Marinship Way Ste 370, Sausalito, CA 94965-2853 Ph: (415) 887-9758	Shala Rahbar Fardin, MD 2330 Marinship Way Ste 370, Sausalito, CA 94965-2853 Ph: (415) 887-9758

Reviews and Comments

Dermatology Doctors in Sausalito, CA

Ashley Ann Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2330 Marinship Way, Suite 370, Sausalito, CA 94965 Phone: 415-887-9758 Fax: 707-829-7629
Holly Louise Christman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2330 Marinship Way Ste 370, Sausalito, CA 94965 Phone: 415-887-9758 Fax: 415-887-9763
Dr. Suzanne L Westphal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2330 Marinship Way Ste 370, Sausalito, CA 94965 Phone: 415-887-9758 Fax: 415-887-9763

Shala Rahbar Fardin, MD - Medicare Dermatology in Sausalito, CA