Dr Imran Shafi, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fontana, California. His current practice location is
9985 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at
(909) 974-4719.
Dr Imran Shafi is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265630016.
Physician's Profile
| Full Name | Dr Imran Shafi |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 9985 Sierra Ave, Fontana, California |
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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: 1265630016
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315088416
- Enrollment ID: I20100112000378
Medical Identifiers
Medical identifiers for Dr Imran Shafi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265630016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | A 106930 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Imran Shafi allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Dr Imran Shafi 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 |
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Dr Imran Shafi, MD
16011 Butterfield Ranch Rd, # 228,
Chino Hills, CA 91709-7455
Ph: (909) 606-4242 | Dr Imran Shafi, MD
9985 Sierra Ave,
Fontana, CA 92335-6720
Ph: (909) 974-4719 |
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