Shareen Ismail, MD in Fayetteville, NY

Shareen Ismail, MD is a medicare enrolled "Pediatrics" physician in Fayetteville, New York. Her current practice location is 8016 East Genesee Street, The Alexandre Centre For Children's Health, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 569-1612.

Shareen Ismail is licensed to practice in New York (license number 304858) 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 1417158130.

Contact Information

	Shareen Ismail, MD
	8016 East Genesee Street, The Alexandre Centre For Children's Health, Fayetteville, NY 13066
	(315) 569-1612
	Not Available

Map and Direction

Physician's Profile

Full Name	Shareen Ismail
Gender	Female
Speciality	Pediatrics
Location	8016 East Genesee Street, Fayetteville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417158130
Provider Enumeration Date: 05/30/2007
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 7416126933
Enrollment ID: I20110817000598

Medical Identifiers

Medical identifiers for Shareen Ismail such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417158130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	304858 (New York)	Secondary
208000000X	Pediatrics	304858 (New York)	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. Shareen Ismail allows following entities to bill medicare on her behalf.

Entity Name	Paragon Emergency Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143

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. Shareen Ismail 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
Shareen Ismail, MD 3 Quaker Hill Rd, Syracuse, NY 13224-2011 Ph: (315) 569-1612	Shareen Ismail, MD 8016 East Genesee Street, The Alexandre Centre For Children's Health, Fayetteville, NY 13066 Ph: (315) 569-1612

Reviews and Comments

Pediatrics Doctors in Fayetteville, NY

Dr. Sara Lou Farchione, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6851 East Genesee Street, Fayetteville, NY 13066 Phone: 315-446-4580 Fax: 315-446-3426
Denise Wolken, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4000 Medical Center Dr, Suite 214, Fayetteville, NY 13066 Phone: 315-991-4180 Fax: 315-991-4046
Cynthia G Battaglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6851 East Genesee Street, Fayetteville, NY 13066 Phone: 315-446-4580 Fax: 315-446-3426
Thomas Tyo Little, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6851 East Genesee Street, Fayetteville, NY 13066 Phone: 315-446-4580 Fax: 315-446-3426
Dr. Leonard Levy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6836 E Genesee St, Fayetteville, NY 13066 Phone: 315-446-1684 Fax: 315-446-4873

Shareen Ismail, MD - Medicare Pediatrics in Fayetteville, NY