Dr Kiumars E Shams, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Graceville, Florida. His current practice location is
5389 Cotton St, Graceville, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 360-4147.
Dr Kiumars E Shams is licensed to practice in Florida (license number ME29949) 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 1386780302.
Physician's Profile
| Full Name | Dr Kiumars E Shams |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 5389 Cotton St, Graceville, Florida |
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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: 1386780302
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 01/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224001219
- Enrollment ID: I20040818001136
Medical Identifiers
Medical identifiers for Dr Kiumars E Shams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386780302 | NPI | - | NPPES |
| 038295700 | Medicaid | FL | |
| 582678372 | Other | FL | TRICARE |
| 79178 | Other | FL | BCBS FL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME29949 (Florida) | Secondary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | ME29949 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME29949 (Florida) | 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 Kiumars E Shams allows following entities to bill medicare on his behalf.
| Entity Name | Linda Berlin Psy D & Psychological Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467467266
PECOS PAC ID: 7517858285
Enrollment ID: O20040323000074 |
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| Entity Name | Sunshine Behavioral Medicine Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598266850
PECOS PAC ID: 9931520608
Enrollment ID: O20200604001501 |
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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 Kiumars E Shams 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 Kiumars E Shams, MD
Po Box 186,
Graceville, FL 32440-0186
Ph: (850) 360-4147 | Dr Kiumars E Shams, MD
5389 Cotton St,
Graceville, FL 32440-1739
Ph: (850) 360-4147 |
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