Mrs Shira Khoshkerman, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Encino, California. Her current practice location is
17200 Ventura Blvd Ste 302, Encino, California. You can reach out to her office (for appointments etc.) via phone at
(818) 905-8815.
Mrs Shira Khoshkerman is licensed to practice in California (license number PA58912) 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 1063923738.
Physician's Profile
Full Name | Mrs Shira Khoshkerman |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 17200 Ventura Blvd Ste 302, Encino, California |
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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: 1063923738
- Provider Enumeration Date: 10/20/2017
- Last Update Date: 10/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507122207
- Enrollment ID: I20171114000436
Medical Identifiers
Medical identifiers for Mrs Shira Khoshkerman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063923738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | C0006666 (Maryland) | Secondary |
363AM0700X | Physician Assistant - Medical | PA58912 (California) | Primary |
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. Mrs Shira Khoshkerman 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 |
Mrs Shira Khoshkerman, PA-C 17200 Ventura Blvd Ste 302, Encino, CA 91316-5008 Ph: () - | Mrs Shira Khoshkerman, PA-C 17200 Ventura Blvd Ste 302, Encino, CA 91316-5008 Ph: (818) 905-8815 |
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