Dr Shairoz Shelina Manji, MD is a medicare enrolled "Pediatrics" physician in Chatsworth, Georgia. Her current practice location is
1008 N 3rd Ave, Chatsworth, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 517-2273.
Dr Shairoz Shelina Manji is licensed to practice in Georgia (license number 94698) 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 1568412591.
Physician's Profile
| Full Name | Dr Shairoz Shelina Manji |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1008 N 3rd Ave, Chatsworth, Georgia |
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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: 1568412591
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961404504
- Enrollment ID: I20230314000004
Medical Identifiers
Medical identifiers for Dr Shairoz Shelina Manji such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568412591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 94698 (Georgia) | Primary |
| 208000000X | Pediatrics | 4301068663 (Michigan) | Secondary |
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 Shairoz Shelina Manji allows following entities to bill medicare on her behalf.
| Entity Name | Georgia Mountains Health Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538123666
PECOS PAC ID: 7719974831
Enrollment ID: O20040429000383 |
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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 Shairoz Shelina Manji 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 |
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Dr Shairoz Shelina Manji, MD
165 Blue Ridge Overlook,
Blue Ridge, GA 30513-4431
Ph: (706) 946-5607 | Dr Shairoz Shelina Manji, MD
1008 N 3rd Ave,
Chatsworth, GA 30705-2118
Ph: (706) 517-2273 |
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