Ms Shahla Gharsri-zarghami-sabet, CNM is a medicare enrolled "Advanced Practice Midwife" in Sunnyside, New York. Her current practice location is
43-12 43rd St, Sunnyside, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 334-6230.
Ms Shahla Gharsri-zarghami-sabet is licensed to practice in New York (license number F000909) 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 1003909748.
Provider's Profile
| Full Name | Ms Shahla Gharsri-zarghami-sabet |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 43-12 43rd St, Sunnyside, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003909748
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 11/04/2010
Medicare PECOS Information:
- PECOS PAC ID: 1850563941
- Enrollment ID: I20111014000180
Medical Identifiers
Medical identifiers for Ms Shahla Gharsri-zarghami-sabet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003909748 | NPI | - | NPPES |
| 00246075 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | F000909 (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. Ms Shahla Gharsri-zarghami-sabet allows following entities to bill medicare on her behalf.
| Entity Name | Icahn School Of Medicine At Mount Sinai |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124392212
PECOS PAC ID: 2264691070
Enrollment ID: O20120910000003 |
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| Entity Name | Icahn School Of Medicine At Mount Sinai |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932520251
PECOS PAC ID: 2264691070
Enrollment ID: O20140509000259 |
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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. Ms Shahla Gharsri-zarghami-sabet 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 |
|---|
Ms Shahla Gharsri-zarghami-sabet, CNM
79-01 Broadway, D1-01,
Elmhurst, NY 11373-1329
Ph: (718) 334-1920 | Ms Shahla Gharsri-zarghami-sabet, CNM
43-12 43rd St,
Sunnyside, NY 11104-2608
Ph: (718) 334-6230 |
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