Dr Setareh Shams, MD - Medicare Obstetrics/gynecology in New York, NY

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Dr Setareh Shams, MD is a medicare enrolled "Obstetrics & Gynecology - Obstetrics" physician in New York, New York. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Metropolitan Medical Practice Plan Pc and her current practice location is 1901 1st Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 423-6262.

Dr Setareh Shams is licensed to practice in New York (license number 283753) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003176462.

Contact Information

Dr Setareh Shams, MD
1901 1st Ave,
New York, NY 10029-7491
(212) 423-6262
Not Available

Map and Direction




Physician's Profile

Full NameDr Setareh Shams
GenderFemale
SpecialityObstetrics/gynecology
Experience12 Years
Location1901 1st Ave, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Setareh Shams graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1003176462
  • Provider Enumeration Date: 05/20/2012
  • Last Update Date: 05/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749542009
  • Enrollment ID: I20180326001556

Medical Identifiers

Medical identifiers for Dr Setareh Shams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003176462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0000XObstetrics & Gynecology - Obstetrics 283753 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Metropolitan Medical Practice Plan Pc8022286384212

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 Setareh Shams allows following entities to bill medicare on her behalf.
Entity NameDowntown Bronx Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026
Entity NameConey Island Medical Practice Plan, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171
Entity NamePhysician Affiliate Group Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270

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 Setareh 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 AddressPractice Location Address
Dr Setareh Shams, MD
300 2nd Ave,
Long Branch, NJ 07740-6303

Ph: (732) 923-6795		Dr Setareh Shams, MD
1901 1st Ave,
New York, NY 10029-7491

Ph: (212) 423-6262

Reviews and Comments


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Phone: 646-962-3814    Fax: 646-962-0311

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.