Mariam Alshagra, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. Her current practice location is
6821 Reisterstown Rd Ste 106, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 358-6450.
Mariam Alshagra is licensed to practice in * (Not Available) (license number ) 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 1316526759.
Physician's Profile
Full Name | Mariam Alshagra |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 6821 Reisterstown Rd Ste 106, Baltimore, Maryland |
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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: 1316526759
- Provider Enumeration Date: 04/05/2021
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648717793
- Enrollment ID: I20240806004761
Medical Identifiers
Medical identifiers for Mariam Alshagra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316526759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0102208778 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mariam Alshagra allows following entities to bill medicare on her behalf.
Entity Name | Bon Secours St Marys Hospital Of Richmond Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962464016 PECOS PAC ID: 8527969476 Enrollment ID: O20040324000566 |
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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. Mariam Alshagra 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 |
Mariam Alshagra, DO 201 E University Pkwy Dept Of, Baltimore, MD 21218-2829 Ph: (410) 554-2284 | Mariam Alshagra, DO 6821 Reisterstown Rd Ste 106, Baltimore, MD 21215-1434 Ph: (410) 358-6450 |
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