Dr Setana Abubakr Idriss, MD - Medicare Internal Medicine in Springfield, MA

Dr Setana Abubakr Idriss, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Springfield, Massachusetts. Her current practice location is 3300 Main Street, 3rd Fl, Suite A, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 794-7031.

Dr Setana Abubakr Idriss is licensed to practice in Massachusetts (license number 1019604) 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 1427518521.

Contact Information

Dr Setana Abubakr Idriss, MD
3300 Main Street, 3rd Fl, Suite A,
Springfield, MA 01107-1112
(413) 794-7031
(413) 794-7133

Map and Direction




Physician's Profile

Full NameDr Setana Abubakr Idriss
GenderFemale
SpecialityInternal Medicine - Endocrinology, Diabetes & Metabolism
Location3300 Main Street, Springfield, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427518521
  • Provider Enumeration Date: 03/23/2019
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668703653
  • Enrollment ID: I20240611000902

Medical Identifiers

Medical identifiers for Dr Setana Abubakr Idriss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427518521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 1019604 (Massachusetts)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 Setana Abubakr Idriss allows following entities to bill medicare on her behalf.
Entity NameBaystate Medical Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548205909
PECOS PAC ID: 5991602971
Enrollment ID: O20040225000080

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 Setana Abubakr Idriss 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 AddressPractice Location Address
Dr Setana Abubakr Idriss, MD
280 Chestnut Street, 2nd Floor,
Springfield, MA 01199-1001

Ph: (413) 794-5700
Dr Setana Abubakr Idriss, MD
3300 Main Street, 3rd Fl, Suite A,
Springfield, MA 01107-1112

Ph: (413) 794-7031

Reviews and Comments


Internal Medicine Doctors in Springfield, MA

Grace Makari-judson, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 3350 Main Street, Springfield, MA 01107
Phone: 413-794-9338    Fax: 413-794-9754
Peter Whittredge, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 2 Medical Center Dr, Suite 410, Springfield, MA 01107
Phone: 413-781-5735    Fax: 413-732-0225
Dr. Marc A Goldman, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 175 Carew St Ste 200, Springfield, MA 01104
Phone: 413-732-4269    Fax: 413-785-4619
Twara K Tarasaria, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 759 Chestnut St, Springfield, MA 01107
Phone: 413-794-6297    Fax: 413-794-1767
Dr. Sai R. Vadhula, MD, PHD
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 759 Chestnut St Ste C3350, Springfield, MA 01107
Phone: 413-794-6297    Fax: 413-794-1767
Dr. Joan Wanda Lisak, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 780 Chestnut St, Suite 20, Springfield, MA 01107
Phone: 413-781-2200    Fax: 413-781-2202
Dr. Eva Karacsonyi, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 2150 Main Street, Springfield, MA 01104
Phone: 413-739-5676    Fax: 413-739-2278

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.