Nazaneen Marie Eshragh, MD is a medicare enrolled "Pediatrics" physician in Ridgefield, Washington. Her current practice location is
5515 Pioneer St, Ridgefield, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 882-2778.
Nazaneen Marie Eshragh is licensed to practice in Washington (license number MD61406174) 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 1154683506.
Physician's Profile
Full Name | Nazaneen Marie Eshragh |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 5515 Pioneer St, Ridgefield, Washington |
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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: 1154683506
- Provider Enumeration Date: 06/12/2012
- Last Update Date: 05/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466760574
- Enrollment ID: I20230410001060
Medical Identifiers
Medical identifiers for Nazaneen Marie Eshragh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154683506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | R73238 (Arizona) | Secondary |
208000000X | Pediatrics | MD170807 (Oregon) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208000000X | Pediatrics | MD61406174 (Washington) | 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. Nazaneen Marie Eshragh allows following entities to bill medicare on her behalf.
Entity Name | The Vancouver Clinic Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
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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. Nazaneen Marie Eshragh 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 |
Nazaneen Marie Eshragh, MD Po Box 4825, Portland, OR 97208-4825 Ph: (360) 882-2778 | Nazaneen Marie Eshragh, MD 5515 Pioneer St, Ridgefield, WA 98642-3375 Ph: (360) 882-2778 |
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