Dr Kourosh Darren Bagheri, MD, MS is a medicare enrolled "Internal Medicine" physician in Shell Beach, California. His current practice location is
170 Seacliff Dr, Shell Beach, California. You can reach out to his office (for appointments etc.) via phone at
(805) 781-9111.
Dr Kourosh Darren Bagheri is licensed to practice in California (license number G77496) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457540031.
Physician's Profile
| Full Name | Dr Kourosh Darren Bagheri |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 170 Seacliff Dr, Shell Beach, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kourosh Darren Bagheri attended and graduated from in
NPI Data:
- NPI Number: 1457540031
- Provider Enumeration Date: 10/18/2007
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kourosh Darren Bagheri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457540031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | G77496 (California) | Primary |
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 Kourosh Darren Bagheri 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 Kourosh Darren Bagheri, MD, MS
1177 Marsh St Ste 100,
San Luis Obispo, CA 93401-2316
Ph: (805) 781-9111 | Dr Kourosh Darren Bagheri, MD, MS
170 Seacliff Dr,
Shell Beach, CA 93449-1715
Ph: (805) 781-9111 |
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