| Shapour Steve Mirmanesh, MD | |
|
12000 Lincoln Drive West, Suite 405, Marlton, NJ 08053 | |
| (856) 985-0203 | |
| (856) 985-0010 |
| Full Name | Shapour Steve Mirmanesh |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 12000 Lincoln Drive West, Marlton, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669407375 | NPI | - | NPPES |
| 0033189 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 25MA07725100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lee Health System Inc | 9335672146 | 1153 |
| Entity Name | Lee Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
| Entity Name | Cape Coral Hospitalists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336209790 PECOS PAC ID: 2961504923 Enrollment ID: O20070221000345 |
| Entity Name | Cogent Healthcare Of Jacksonville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
| Entity Name | Vijay Ganatra M D P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053434258 PECOS PAC ID: 4880727866 Enrollment ID: O20100727000941 |
| Entity Name | Premier Inpatient Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568916492 PECOS PAC ID: 3476832528 Enrollment ID: O20161114002121 |
| Entity Name | Sound Physicians Of Florida Iv, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
| Entity Name | Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063058105 PECOS PAC ID: 3870920861 Enrollment ID: O20200304001501 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Shapour Steve Mirmanesh, MD 5120 New Hampshire Avenue, Sweetwater, NJ 08037 Ph: (856) 985-0203 | Shapour Steve Mirmanesh, MD 12000 Lincoln Drive West, Suite 405, Marlton, NJ 08053 Ph: (856) 985-0203 |
Michael Steven Boulos, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 Fax: 856-355-6731 | |
David Arveladze, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 | |
Heather M. Giannini, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Renaissance Square., 141 Route 70, Suite B, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 | |
Lucinda Fisher, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 Fax: 856-355-6731 | |
Felrita Watkins, AGACNP-BC Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 | |
Ali M Mustafa, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Renaissance Square, 141 Route 70, Suite B, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 |