Shams Al-sadat Mousavilar, MD is a medicare enrolled "Pediatrics" physician in La Puente, California. Her current practice location is
1840 N Hacienda Blvd Ste 4, La Puente, California. You can reach out to her office (for appointments etc.) via phone at
(626) 727-2150.
Shams Al-sadat Mousavilar is licensed to practice in California (license number A91709) 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 1568400505.
Physician's Profile
Full Name | Shams Al-sadat Mousavilar |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1840 N Hacienda Blvd Ste 4, La Puente, California |
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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: 1568400505
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214113380
- Enrollment ID: I20110525000744
Medical Identifiers
Medical identifiers for Shams Al-sadat Mousavilar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568400505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A91709 (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. Shams Al-sadat Mousavilar allows following entities to bill medicare on her behalf.
Entity Name | Healthcare Partners Affiliates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
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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. Shams Al-sadat Mousavilar 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 |
Shams Al-sadat Mousavilar, MD 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744-1143 Ph: (626) 727-2150 | Shams Al-sadat Mousavilar, MD 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744-1143 Ph: (626) 727-2150 |
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