Elizabeth A Bushra, MD is a medicare enrolled "Emergency Medicine" physician in Broomall, Pennsylvania. Her current practice location is
1991 Sproul Rd Ste 600, Broomall, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(484) 565-1293.
Elizabeth A Bushra is licensed to practice in Pennsylvania (license number MD059814L) 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 1538194139.
Physician's Profile
Full Name | Elizabeth A Bushra |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 1991 Sproul Rd Ste 600, Broomall, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538194139
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 07/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931503208
- Enrollment ID: I20210809002103
Medical Identifiers
Medical identifiers for Elizabeth A Bushra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538194139 | NPI | - | NPPES |
0016437110002 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD059814L (Pennsylvania) | 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. Elizabeth A Bushra allows following entities to bill medicare on her behalf.
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
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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. Elizabeth A Bushra 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 |
Elizabeth A Bushra, MD 1991 Sproul Rd Ste 600, Broomall, PA 19008-3517 Ph: (484) 565-1293 | Elizabeth A Bushra, MD 1991 Sproul Rd Ste 600, Broomall, PA 19008-3517 Ph: (484) 565-1293 |
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