Alicia Shirakbari, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Danville, Kentucky. Her current practice location is
128 Daniel Dr, Danville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 238-0018.
Alicia Shirakbari is licensed to practice in Kentucky (license number 41540) 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 1447357223.
Physician's Profile
| Full Name | Alicia Shirakbari |
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| Gender | Female |
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| Speciality | Preventive Medicine - Addiction Medicine |
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| Location | 128 Daniel Dr, Danville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447357223
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698765840
- Enrollment ID: I20080811000790
Medical Identifiers
Medical identifiers for Alicia Shirakbari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447357223 | NPI | - | NPPES |
| 036096107 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 99000262A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01052776A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 41540 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 036-096107 (Illinois) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 41540 (Kentucky) | 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. Alicia Shirakbari allows following entities to bill medicare on her behalf.
| Entity Name | Pikeville Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528195864
PECOS PAC ID: 6709790157
Enrollment ID: O20040304001281 |
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| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285 |
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| Entity Name | Emergency Medicine Physicians Of Estill County,pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407235666
PECOS PAC ID: 1850604141
Enrollment ID: O20150715001677 |
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| Entity Name | Emergency Professional Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20161229001007 |
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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. Alicia Shirakbari 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 |
|---|
Alicia Shirakbari, MD
431 Fayette Park,
Lexington, KY 40508-1330
Ph: (312) 375-7575 | Alicia Shirakbari, MD
128 Daniel Dr,
Danville, KY 40422-2527
Ph: (859) 238-0018 |
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