Shahrzad Mokhtare, MD is a medicare enrolled "Family Medicine" physician in Corona Del Mar, California. Her current practice location is
2865 E Coast Hwy Unit 120, Corona Del Mar, California. You can reach out to her office (for appointments etc.) via phone at
(866) 278-2204.
Shahrzad Mokhtare is licensed to practice in California (license number A174299) 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 1912481334.
Physician's Profile
Full Name | Shahrzad Mokhtare |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 2865 E Coast Hwy Unit 120, Corona Del Mar, California |
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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: 1912481334
- Provider Enumeration Date: 09/21/2018
- Last Update Date: 11/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244615797
- Enrollment ID: I20220919003356
Medical Identifiers
Medical identifiers for Shahrzad Mokhtare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912481334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A174299 (California) | 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. Shahrzad Mokhtare allows following entities to bill medicare on her behalf.
Entity Name | Circle Medical Care Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134596091 PECOS PAC ID: 3870894579 Enrollment ID: O20151222002869 |
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Entity Name | California Telemedicine Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073153250 PECOS PAC ID: 7517371859 Enrollment ID: O20210128001414 |
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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. Shahrzad Mokhtare 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 |
Shahrzad Mokhtare, MD 3141 Michelson Dr Unit 1704, Irvine, CA 92612-5675 Ph: (866) 278-2204 | Shahrzad Mokhtare, MD 2865 E Coast Hwy Unit 120, Corona Del Mar, CA 92625-2236 Ph: (866) 278-2204 |
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