Dr Maryam Sadeghi, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Ukiah, California. Her current practice location is
1050 N State St, Ukiah, California. You can reach out to her office (for appointments etc.) via phone at
(707) 463-7488.
Dr Maryam Sadeghi is licensed to practice in California (license number A195150) 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 1861913683.
Physician's Profile
| Full Name | Dr Maryam Sadeghi |
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| Gender | Female |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 1050 N State St, Ukiah, 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: 1861913683
- Provider Enumeration Date: 06/30/2017
- Last Update Date: 08/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921484502
- Enrollment ID: I20221025003354
Medical Identifiers
Medical identifiers for Dr Maryam Sadeghi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861913683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | A195150 (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 Maryam Sadeghi allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210512001500 |
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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 Maryam Sadeghi 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 Maryam Sadeghi, MD
1050 N State St,
Ukiah, CA 95482-3414
Ph: (707) 463-7488 | Dr Maryam Sadeghi, MD
1050 N State St,
Ukiah, CA 95482-3414
Ph: (707) 463-7488 |
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