Dr Halima Tasneem Shahabuddin, MD in Fontana, CA

Dr Halima Tasneem Shahabuddin, MD is a medicare enrolled "Pediatrics" physician in Fontana, California. Her current practice location is 17577 Arrow Blvd, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 823-4454.

Dr Halima Tasneem Shahabuddin is licensed to practice in California (license number A51308) 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 1780760645.

Contact Information

	Dr Halima Tasneem Shahabuddin, MD
	17577 Arrow Blvd, Fontana, CA 92335
	(909) 823-4454
	(909) 823-6918

Map and Direction

Physician's Profile

Full Name	Dr Halima Tasneem Shahabuddin
Gender	Female
Speciality	Pediatrics
Location	17577 Arrow Blvd, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780760645
Provider Enumeration Date: 10/31/2006
Last Update Date: 11/15/2012

Medicare PECOS Information:

PECOS PAC ID: 8628411774
Enrollment ID: I20240206003311

Medical Identifiers

Medical identifiers for Dr Halima Tasneem Shahabuddin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780760645	NPI	-	NPPES
00A513080	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A51308 (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. Dr Halima Tasneem Shahabuddin allows following entities to bill medicare on her behalf.

Entity Name	Emanate Health Medical Care Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467195073 PECOS PAC ID: 9830544980 Enrollment ID: O20231011003976

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. Dr Halima Tasneem Shahabuddin 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
Dr Halima Tasneem Shahabuddin, MD 685 Carnegie Dr., Suite230, San Bernardino, CA 92408-3583 Ph: (909) 890-0407	Dr Halima Tasneem Shahabuddin, MD 17577 Arrow Blvd, Fontana, CA 92335 Ph: (909) 823-4454

Reviews and Comments

Pediatrics Doctors in Fontana, CA

Mr. James David Killeen Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana - Pediatrics, Fontana, CA 92335 Phone: 909-427-6960
Ramandeep Kaur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088
Leslie Sison Aquino-peralta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Connie Lew Cheng, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Miss Irene H Odom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5451
Mrs. Emma Claire Boda, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088
Eric Mun-kong Wong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Dr Halima Tasneem Shahabuddin, MD - Medicare Pediatrics in Fontana, CA