Seyed Abdoljavad Beheshti Shirazi, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Corning, New York. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Guthrie Medical Group Pc, Guthrie Medical Group Pc and his current practice location is
1 Guthrie Dr, Department Of Pathology, Corning, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 937-1451.
Seyed Abdoljavad Beheshti Shirazi is licensed to practice in New York (license number 268155-1) 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 1205053113.
Physician's Profile
| Full Name | Seyed Abdoljavad Beheshti Shirazi |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 34 Years |
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| Location | 1 Guthrie Dr, Corning, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Seyed Abdoljavad Beheshti Shirazi graduated from medical school in 1990
NPI Data:
- NPI Number: 1205053113
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 03/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153568373
- Enrollment ID: I20130508000007
Medical Identifiers
Medical identifiers for Seyed Abdoljavad Beheshti Shirazi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205053113 | NPI | - | NPPES |
| 03536096 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0101X | Pathology - Anatomic Pathology | MD453997 (Pennsylvania) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 268155-1 (New York) | Primary |
| 207ZD0900X | Pathology - Dermatopathology | 268188 (New York) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | MD453997 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Guthrie Medical Group Pc | 6002728656 | 637 |
| Guthrie Medical Group Pc | 6002728656 | 637 |
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. Seyed Abdoljavad Beheshti Shirazi allows following entities to bill medicare on his behalf.
| Entity Name | Guthrie Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134178635
PECOS PAC ID: 6002728656
Enrollment ID: O20031103000220 |
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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. Seyed Abdoljavad Beheshti Shirazi 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 |
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Seyed Abdoljavad Beheshti Shirazi, MD
1 Guthrie Sq,
Sayre, PA 18840-1625
Ph: (570) 888-5858 | Seyed Abdoljavad Beheshti Shirazi, MD
1 Guthrie Dr, Department Of Pathology,
Corning, NY 14830-3696
Ph: (607) 937-1451 |
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