Shafi Ullah Siddiqi, MD is a medicare enrolled "General Practice" physician in Lake Elsinore, California. He went to Un Of California, Irvine, College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
31569 Canyon Estates Dr, Ste 201, Lake Elsinore, California. You can reach out to his office (for appointments etc.) via phone at
(951) 226-0866.
Shafi Ullah Siddiqi is licensed to practice in California (license number A102176) 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 1538499470.
Physician's Profile
| Full Name | Shafi Ullah Siddiqi |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 19 Years |
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| Location | 31569 Canyon Estates Dr, Lake Elsinore, California |
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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:
- Shafi Ullah Siddiqi attended and graduated from Un Of California, Irvine, College Of Medicine in 2005
NPI Data:
- NPI Number: 1538499470
- Provider Enumeration Date: 12/27/2009
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385937929
- Enrollment ID: I20160720000945
Medical Identifiers
Medical identifiers for Shafi Ullah Siddiqi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538499470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | A102176 (California) | Primary |
Medical Facilities Affiliation
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. Shafi Ullah Siddiqi allows following entities to bill medicare on his behalf.
| Entity Name | Shafi Siddiqi Md A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477229995
PECOS PAC ID: 6800293135
Enrollment ID: O20210929000192 |
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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. Shafi Ullah Siddiqi 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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Shafi Ullah Siddiqi, MD
31569 Canyon Estates Dr, Ste 201,
Lake Elsinore, CA 92532-0475
Ph: (951) 226-0866 | Shafi Ullah Siddiqi, MD
31569 Canyon Estates Dr, Ste 201,
Lake Elsinore, CA 92532-0475
Ph: (951) 226-0866 |
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