Seyedeh Maryam Bashiri, MD - Medicare Family Practice in Pine Bluff, AR

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Seyedeh Maryam Bashiri, MD is a medicare enrolled "Hospitalist" physician in Pine Bluff, Arkansas. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Foundation and her current practice location is 4010 S Mulberry St, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 541-6000.

Seyedeh Maryam Bashiri is licensed to practice in California (license number A166072) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477900850.

Contact Information

Seyedeh Maryam Bashiri, MD
4010 S Mulberry St,
Pine Bluff, AR 71603-7000
(870) 541-6000
Not Available

Map and Direction




Physician's Profile

Full NameSeyedeh Maryam Bashiri
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location4010 S Mulberry St, Pine Bluff, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Seyedeh Maryam Bashiri graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1477900850
  • Provider Enumeration Date: 05/16/2016
  • Last Update Date: 11/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305195439
  • Enrollment ID: I20210211002291

Medical Identifiers

Medical identifiers for Seyedeh Maryam Bashiri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477900850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A166072 (California)Secondary
207QG0300XFamily Medicine - Geriatric Medicine A166072 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208M00000XHospitalist A166072 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Rosa Memorial HospitalSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

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. Seyedeh Maryam Bashiri allows following entities to bill medicare on her behalf.
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameHospitalist Medicine Physicians Of California - Fairfield Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487132007
PECOS PAC ID: 3779836085
Enrollment ID: O20181101002925

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. Seyedeh Maryam Bashiri 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 AddressPractice Location Address
Seyedeh Maryam Bashiri, MD
4010 S Mulberry St,
Pine Bluff, AR 71603-7000

Ph: (870) 541-6000		Seyedeh Maryam Bashiri, MD
4010 S Mulberry St,
Pine Bluff, AR 71603-7000

Ph: (870) 541-6000

Reviews and Comments


Hospitalist Doctors in Pine Bluff, AR

Carla Yvonne Pumphrey, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603
Phone: 870-541-6000    
Nathan Probst, M.D.
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603
Phone: 870-541-7611    Fax: 870-541-7602

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.