Shameera Shaik Masthan, MD is a medicare enrolled "General Practice" physician in University Place, Washington. Her current practice location is
5520 Bridgeport Way W, University Place, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 566-7166.
Shameera Shaik Masthan is licensed to practice in Washington (license number ML61464062) 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 1205516440.
Physician's Profile
Full Name | Shameera Shaik Masthan |
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Gender | Female |
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Speciality | General Practice |
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Location | 5520 Bridgeport Way W, University Place, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205516440
- Provider Enumeration Date: 07/21/2023
- Last Update Date: 07/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789038894
- Enrollment ID: I20230922003079
Medical Identifiers
Medical identifiers for Shameera Shaik Masthan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205516440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | ML61464062 (Washington) | Primary |
207R00000X | Internal Medicine | ML61464062 (Washington) | Secondary |
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. Shameera Shaik Masthan allows following entities to bill medicare on her behalf.
Entity Name | Pacific Medical Specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548911811 PECOS PAC ID: 2365838364 Enrollment ID: O20220330002418 |
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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. Shameera Shaik Masthan 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 |
Shameera Shaik Masthan, MD 3020 S Union Ave, Tacoma, WA 98409-3317 Ph: (253) 844-4327 | Shameera Shaik Masthan, MD 5520 Bridgeport Way W, University Place, WA 98467-2041 Ph: (253) 566-7166 |
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