Maryam Shams, NP in Downey, CA - Medicare Nurse Practitioner

Maryam Shams, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Downey, California. Her current practice location is 8635 Firestone Blvd, Downey, California. You can reach out to her office (for appointments etc.) via phone at (909) 382-0201.

Maryam Shams is licensed to practice in California (license number 95004234) 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 1093160764.

Contact Information

	Maryam Shams, NP
	8635 Firestone Blvd, Downey, CA 90241-5281
	(909) 382-0201
	(909) 382-0210

Map and Direction

Provider's Profile

Full Name	Maryam Shams
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	8635 Firestone Blvd, Downey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093160764
Provider Enumeration Date: 04/29/2016
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0547675480
Enrollment ID: I20210503001247

Medical Identifiers

Medical identifiers for Maryam Shams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093160764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	95004234 (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. Maryam Shams allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Maryam Shams 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
Maryam Shams, NP Po Box 10818, San Bernardino, CA 92423-0818 Ph: (909) 382-0201	Maryam Shams, NP 8635 Firestone Blvd, Downey, CA 90241-5281 Ph: (909) 382-0201

Reviews and Comments

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Maryam Shams, NP - Medicare Nurse Practitioner in Downey, CA