Shiva Kheradmand, DO is a medicare enrolled "Dermatology" physician in Temecula, California. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2017 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Pacific Dermatology Institute and her current practice location is
44605 Avenida De Missiones Ste 202, Temecula, California. You can reach out to her office (for appointments etc.) via phone at
(727) 588-5200.
Shiva Kheradmand is licensed to practice in California (license number 18822) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457884298.
Physician's Profile
Full Name | Shiva Kheradmand |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 8 Years |
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Location | 44605 Avenida De Missiones Ste 202, Temecula, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shiva Kheradmand attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2017
NPI Data:
- NPI Number: 1457884298
- Provider Enumeration Date: 04/08/2017
- Last Update Date: 06/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890198568
- Enrollment ID: I20210720000662
Medical Identifiers
Medical identifiers for Shiva Kheradmand such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457884298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 18822 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pacific Dermatology Institute | 2062546260 | 27 |
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. Shiva Kheradmand allows following entities to bill medicare on her behalf.
Entity Name | Pacific Dermatology Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740410182 PECOS PAC ID: 2062546260 Enrollment ID: O20100810000288 |
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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. Shiva Kheradmand 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 |
Shiva Kheradmand, DO 44605 Avenida De Missiones Ste 202, Temecula, CA 92592-5001 Ph: () - | Shiva Kheradmand, DO 44605 Avenida De Missiones Ste 202, Temecula, CA 92592-5001 Ph: (727) 588-5200 |
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