Pezhman Shoureshi, DO is a medicare enrolled "Dermatology" physician in Thompsons Station, Tennessee. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2010 and has 14 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Harpeth Valley Dermatology Pllc and his current practice location is
990 Elliston Way Ste 101, Thompsons Station, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 905-8083.
Pezhman Shoureshi is licensed to practice in Tennessee (license number 2795) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093036105.
Physician's Profile
| Full Name | Pezhman Shoureshi |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 14 Years |
|---|
| Location | 990 Elliston Way Ste 101, Thompsons Station, Tennessee |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Pezhman Shoureshi attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2010
NPI Data:
- NPI Number: 1093036105
- Provider Enumeration Date: 06/13/2010
- Last Update Date: 12/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143443267
- Enrollment ID: I20150623000545
Medical Identifiers
Medical identifiers for Pezhman Shoureshi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093036105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0116022668 (Virginia) | Secondary |
| 207N00000X | Dermatology | 2795 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Harpeth Valley Dermatology Pllc | 2163849142 | 4 |
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. Pezhman Shoureshi allows following entities to bill medicare on his behalf.
| Entity Name | Harpeth Valley Dermatology Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003436932
PECOS PAC ID: 2163849142
Enrollment ID: O20200908000511 |
|---|
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. Pezhman Shoureshi 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 |
|---|
Pezhman Shoureshi, DO
515a Highland Terrace,
Murfreesboro, TN 37130
Ph: (540) 951-1111 | Pezhman Shoureshi, DO
990 Elliston Way Ste 101,
Thompsons Station, TN 37179-5482
Ph: (615) 905-8083 |
Reviews and Comments