Bahareh Shanehsaz, MD is a medicare enrolled "Pediatrics" physician in West Windsor, New Jersey. Her current practice location is
196 Princeton Hightstown Rd, West Windsor, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 799-5335.
Bahareh Shanehsaz is licensed to practice in New Jersey (license number 25MA10301200) 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 1649666165.
Physician's Profile
Full Name | Bahareh Shanehsaz |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 196 Princeton Hightstown Rd, West Windsor, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649666165
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 06/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395054670
- Enrollment ID: I20151028000590
Medical Identifiers
Medical identifiers for Bahareh Shanehsaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649666165 | NPI | - | NPPES |
2858100 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 25MA10301200 (New Jersey) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Bahareh Shanehsaz 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 |
Bahareh Shanehsaz, MD 196 Princeton Hightstown Rd, West Windsor, NJ 08550-1672 Ph: (609) 799-5335 | Bahareh Shanehsaz, MD 196 Princeton Hightstown Rd, West Windsor, NJ 08550-1672 Ph: (609) 799-5335 |
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