Shayan Cheraghlou, MD is a medicare enrolled "Dermatology" physician in Bluefield, Virginia. His current practice location is
725 S College Ave, Bluefield, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 326-3376.
Shayan Cheraghlou is licensed to practice in Virginia (license number 0101285793) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336760677.
Physician's Profile
Full Name | Shayan Cheraghlou |
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Gender | Male |
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Speciality | Dermatology |
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Location | 725 S College Ave, Bluefield, Virginia |
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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: 1336760677
- Provider Enumeration Date: 04/28/2020
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729597604
- Enrollment ID: I20250602003484
Medical Identifiers
Medical identifiers for Shayan Cheraghlou such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336760677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 35110 (West Virginia) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 81146 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 709528 (Texas) | Secondary |
207N00000X | Dermatology | 0101285793 (Virginia) | 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. Shayan Cheraghlou allows following entities to bill medicare on his behalf.
Entity Name | Derm One Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053493288 PECOS PAC ID: 9638161821 Enrollment ID: O20040426000419 |
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Entity Name | Integrated Dermatology Of Bluefield Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902474422 PECOS PAC ID: 6800291360 Enrollment ID: O20210820001557 |
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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. Shayan Cheraghlou 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 |
Shayan Cheraghlou, MD 725 S College Ave, Bluefield, VA 24605-1640 Ph: (215) 460-2117 | Shayan Cheraghlou, MD 725 S College Ave, Bluefield, VA 24605-1640 Ph: (276) 326-3376 |
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