Shahnila Raza, MD is a medicare enrolled "Internal Medicine" physician in Southhaven, Mississippi. Her current practice location is
7601 Southcrest Parkway, Southhaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 772-2980.
Shahnila Raza is licensed to practice in Mississippi (license number 21380) 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 1427233196.
Physician's Profile
Full Name | Shahnila Raza |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 7601 Southcrest Parkway, Southhaven, Mississippi |
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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: 1427233196
- Provider Enumeration Date: 12/31/2007
- Last Update Date: 11/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779764469
- Enrollment ID: I20110301000604
Medical Identifiers
Medical identifiers for Shahnila Raza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427233196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 21380 (Mississippi) | 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. Shahnila Raza allows following entities to bill medicare on her behalf.
Entity Name | Baptist Memorial Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
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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. Shahnila Raza 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 |
Shahnila Raza, MD 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: () - | Shahnila Raza, MD 7601 Southcrest Parkway, Southhaven, MS 38671-4739 Ph: (662) 772-2980 |
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