Shayan Cheraghlou, MD is a medicare enrolled "Dermatology" physician in Bluefield, Virginia. He went to Yale University School Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Integrated Dermatology Of Bluefield Pllc, Derm One Pllc, Integrated Dermatology Of Bluefield Pllc, Derm One Pllc and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336760677.
Physician's Profile
| Full Name | Shayan Cheraghlou |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 5 Years |
|---|
| Location | 725 S College Ave, Bluefield, Virginia |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Shayan Cheraghlou attended and graduated from Yale University School Of Medicine in 2020
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Integrated Dermatology Of Bluefield Pllc | 6800291360 | 7 |
| Derm One Pllc | 9638161821 | 11 |
| Integrated Dermatology Of Bluefield Pllc | 6800291360 | 7 |
| Derm One Pllc | 9638161821 | 11 |
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 |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053493288
PECOS PAC ID: 9638161821
Enrollment ID: O20040426000419 |
|---|
| Entity Name | Integrated Dermatology Of Bluefield Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902474422
PECOS PAC ID: 6800291360
Enrollment ID: O20210820001557 |
|---|
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 |
Reviews and Comments