Ayesha Tabassom, in Shreveport, LA - Medicare Emergency Medicine

Ayesha Tabassom, is a medicare enrolled "Emergency Medicine" physician in Shreveport, Louisiana. She went to Mercer University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and her current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 626-0000.

Ayesha Tabassom is licensed to practice in Louisiana (license number 312453) 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 1033558630.

Contact Information

	Ayesha Tabassom,
	1541 Kings Hwy, Shreveport, LA 71103-4228
	(318) 626-0000
	(318) 629-4833

Map and Direction

Physician's Profile

Full Name	Ayesha Tabassom
Gender	Female
Speciality	Emergency Medicine
Experience	9 Years
Location	1541 Kings Hwy, 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:

Ayesha Tabassom attended and graduated from Mercer University School Of Medicine in 2015

NPI Data:

NPI Number: 1033558630
Provider Enumeration Date: 06/18/2013
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3375839897
Enrollment ID: I20191007000615

Medical Identifiers

Medical identifiers for Ayesha Tabassom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033558630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	312453 (Louisiana)	Secondary
207P00000X	Emergency Medicine	312453 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ochsner Lsu Health Monroe	Monroe, LA	Hospital
Adventhealth Daytona Beach	Daytona beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice	4082902721	534

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. Ayesha Tabassom allows following entities to bill medicare on her behalf.

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

Entity Name	Cross Lake Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013497114 PECOS PAC ID: 5395096440 Enrollment ID: O20180928000987

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. Ayesha Tabassom 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
Ayesha Tabassom, 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: () -	Ayesha Tabassom, 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000

Reviews and Comments

Emergency Medicine Doctors in Shreveport, LA

David James Caltrider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-2326
Hunter Rennie, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-1034
Dr. Craig Florea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4500
Dr. Lacey Whited, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-6885 Fax: 318-675-6878
Roy Brandhurst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Shreveport, LA 71115 Phone: 318-212-3500 Fax: 318-212-3505
Joseph William Yarbrough Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-1034
Brett Horn, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-7261 Fax: 318-675-6878

Ayesha Tabassom, - Medicare Emergency Medicine in Shreveport, LA