Sophia Tayebeh Shokouh-amiri, MD in Shreveport, LA

Sophia Tayebeh Shokouh-amiri, MD is a medicare enrolled "Family Medicine" physician in Shreveport, Louisiana. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Wk Pierre Ave Community Health Education And Wellness Center, Wk Urgent Care Center-pierremont, Wk Community Health Clinic and her current practice location is 1327 Pierre Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 212-8624.

Sophia Tayebeh Shokouh-amiri is licensed to practice in Louisiana (license number 311260) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134516578.

Contact Information

	Sophia Tayebeh Shokouh-amiri, MD
	1327 Pierre Ave, Shreveport, LA 71103
	(318) 212-8624
	(318) 226-8545

Map and Direction

Physician's Profile

Full Name	Sophia Tayebeh Shokouh-amiri
Gender	Female
Speciality	Family Practice
Experience	31 Years
Location	1327 Pierre Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sophia Tayebeh Shokouh-amiri attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1993

NPI Data:

NPI Number: 1134516578
Provider Enumeration Date: 04/23/2015
Last Update Date: 02/19/2019

Medicare PECOS Information:

PECOS PAC ID: 9032415286
Enrollment ID: I20190307001220

Medical Identifiers

Medical identifiers for Sophia Tayebeh Shokouh-amiri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134516578	NPI	-	NPPES
2387707	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	311260 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wk Pierre Ave Community Health Education And Wellness Center	5597743906	3
Wk Urgent Care Center-pierremont	8123016946	35
Wk Community Health Clinic	9638130065	3

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. Sophia Tayebeh Shokouh-amiri allows following entities to bill medicare on her behalf.

Entity Name	Wk Urgent Care Center-pierremont
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639115132 PECOS PAC ID: 8123016946 Enrollment ID: O20040503000206

Entity Name	Wk Pierre Ave Community Health Education And Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881626513 PECOS PAC ID: 5597743906 Enrollment ID: O20040712001183

Entity Name	Wk Community Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558393371 PECOS PAC ID: 9638130065 Enrollment ID: O20041020000188

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. Sophia Tayebeh Shokouh-amiri 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
Sophia Tayebeh Shokouh-amiri, MD 1202 Louisiana Ave, Shreveport, LA 71101-3910 Ph: (318) 212-8951	Sophia Tayebeh Shokouh-amiri, MD 1327 Pierre Ave, Shreveport, LA 71103 Ph: (318) 212-8624

Reviews and Comments

Family Medicine Doctors in Shreveport, LA

Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835
Ammar Husan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Sophia Tayebeh Shokouh-amiri, MD - Medicare Family Practice in Shreveport, LA