Dr Shaadi Khademi, MD in Tyler, TX - Medicare Preventive Medicine

Dr Shaadi Khademi, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Tyler, Texas. Her current practice location is 11937 Us Highway 271, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 877-7777.

Dr Shaadi Khademi is licensed to practice in Texas (license number R3121) 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 1639437098.

Contact Information

	Dr Shaadi Khademi, MD
	11937 Us Highway 271, Tyler, TX 75708-3154
	(903) 877-7777
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shaadi Khademi
Gender	Female
Speciality	Preventive Medicine - Occupational Medicine
Location	11937 Us Highway 271, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639437098
Provider Enumeration Date: 04/24/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7416225776
Enrollment ID: I20170610000151

Medical Identifiers

Medical identifiers for Dr Shaadi Khademi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639437098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	BP10053903 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2083X0100X	Preventive Medicine - Occupational Medicine	R3121 (Texas)	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 Shaadi Khademi allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Health Science Center At Tyler-facility-physician
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048

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 Shaadi Khademi 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 Shaadi Khademi, MD Po Box 731912, Dallas, TX 75373-1912 Ph: (903) 877-7777	Dr Shaadi Khademi, MD 11937 Us Highway 271, Tyler, TX 75708-3154 Ph: (903) 877-7777

Reviews and Comments

Preventive Medicine Doctors in Tyler, TX

Courtney Roberts, LVN Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1510 S Vine Ave, Tyler, TX 75701 Phone: 903-526-4055
Alexander Stock, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 332 Wilder Way, Tyler, TX 75703 Phone: 903-534-0838
Amanpreet Dhillon, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Dept. Of Occupational Health Sciences, Tyler, TX 75708 Phone: 903-877-2827 Fax: 903-877-5661
Dr. Barbara M Pinson, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 11721 U S Highway 69 North, Tyler, TX 75706 Phone: 903-561-5637 Fax: 903-882-2224
Jeffrey Levin, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777
Sharon D Huff, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-5900
Dr. Dalia Ezzat Nessim, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777

Dr Shaadi Khademi, MD - Medicare Preventive Medicine in Tyler, TX