Shama Shakir, MD is a medicare enrolled "Pediatrics" physician in Bay St Louis, Mississippi. Her current practice location is
109 Hospital Dr, Bay St Louis, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(228) 463-9666.
Shama Shakir is licensed to practice in Mississippi (license number 17318) 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 1396712915.
Physician's Profile
| Full Name | Shama Shakir |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 109 Hospital Dr, Bay St Louis, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396712915
- Provider Enumeration Date: 03/02/2006
- Last Update Date: 10/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 5294924932
- Enrollment ID: I20110111000339
Medical Identifiers
Medical identifiers for Shama Shakir such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396712915 | NPI | - | NPPES |
| 00125087 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 17318 (Mississippi) | 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. Shama Shakir allows following entities to bill medicare on her behalf.
| Entity Name | Coastal Family Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629066782
PECOS PAC ID: 8628989654
Enrollment ID: O20040108000698 |
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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. Shama Shakir 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 |
|---|
Shama Shakir, MD
Po Box 475,
Biloxi, MS 39533
Ph: (228) 374-2494 | Shama Shakir, MD
109 Hospital Dr,
Bay St Louis, MS 39520-1604
Ph: (228) 463-9666 |
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