Shaza Ben Khadra, MD in Springfield, MA

Shaza Ben Khadra, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Springfield, Massachusetts. Her current practice location is 759 Chestnut Street, D1170, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 794-4550.

Shaza Ben Khadra is licensed to practice in Massachusetts (license number 1021492) 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 1477176444.

Contact Information

	Shaza Ben Khadra, MD
	759 Chestnut Street, D1170, Springfield, MA 01107-1619
	(413) 794-4550
	(413) 794-3195

Map and Direction

Physician's Profile

Full Name	Shaza Ben Khadra
Gender	Female
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	759 Chestnut Street, Springfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477176444
Provider Enumeration Date: 05/25/2020
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 5799106514
Enrollment ID: I20241127000511

Medical Identifiers

Medical identifiers for Shaza Ben Khadra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477176444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	LP04980 (Rhode Island)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	1021492 (Massachusetts)	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. Shaza Ben Khadra allows following entities to bill medicare on her behalf.

Entity Name	Baystate Medical Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080

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. Shaza Ben Khadra 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
Shaza Ben Khadra, MD 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-3909	Shaza Ben Khadra, MD 759 Chestnut Street, D1170, Springfield, MA 01107-1619 Ph: (413) 794-4550

Reviews and Comments

Pathology Doctors in Springfield, MA

Luis A Moral, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-4500 Fax: 413-794-3195
Bruce R Dziura, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 299 Carew St, Springfield, MA 01104 Phone: 413-748-9513 Fax: 413-748-6844
Dr. Ankush Chander, M.D Pathology Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-0000
Rukmini M Kashikar, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, D1170, Springfield, MA 01199 Phone: 413-794-4500 Fax: 413-794-3195
John P Hunt, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-4500
David L Gang, MD Pathology Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-4500
Richard C Friedberg, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-4500 Fax: 413-794-3195

Shaza Ben Khadra, MD - Medicare Pathology in Springfield, MA