Shafa Medical Clinic Pc - Medicare Primary Care in Phoenix, AZ

Shafa Medical Clinic Pc is a medicare enrolled primary clinic (Clinic/center) in Phoenix, Arizona. The current practice location for Shafa Medical Clinic Pc is 202 E Earll Dr Ste 150, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 248-8258. The mailing address for Shafa Medical Clinic Pc is 202 E Earll Dr Ste 150, Phoenix, Arizona and phone number is (602) 248-8258.

Shafa Medical Clinic Pc is licensed to practice in Arizona (license number 07569335N). The clinic also participates in the medicare program and its NPI number is 1194906925. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (602) 248-8258.

Contact Information

Shafa Medical Clinic Pc
202 E Earll Dr Ste 150
Phoenix
AZ 85012-2636
(602) 248-8258
(602) 248-8259

Map and Direction


Primary Care Clinic Profile

Full NameShafa Medical Clinic Pc
SpecialityClinic/Center
Location202 E Earll Dr Ste 150, Phoenix, Arizona
Authorized Official Name and PositionAmanda Modesta (MEDICAL DIRECTOR /PRESIDENT)
Authorized Official Contact6022488258
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shafa Medical Clinic Pc
202 E Earll Dr Ste 150
Phoenix
AZ 85012-2636

Ph: (602) 248-8258
Shafa Medical Clinic Pc
202 E Earll Dr Ste 150
Phoenix
AZ 85012-2636

Ph: (602) 248-8258

NPI Details:

NPI Number1194906925
Provider Enumeration Date11/20/2007
Last Update Date11/20/2007

Medicare PECOS Information:

Medicare PECOS PAC ID3173416641
Medicare Enrollment IDO20040206000825

Medical Identifiers

Medical identifiers for Shafa Medical Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194906925NPI-NPPES
447921MedicaidAZ
AZ0860140OtherAZBC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 07569335N (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shafa Medical Clinic Pc acts as a billing entity for following providers:
Provider NameAmanda R Modesta Keyhani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316993371
PECOS PAC ID: 2062305535
Enrollment ID: I20070208000246

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.