Pedram Shadibakhsh, FNP in Brooklyn, NY - Medicare Nurse Practitioner

Pedram Shadibakhsh, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. His current practice location is 1078 E 32nd St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (917) 450-2219.

Pedram Shadibakhsh is licensed to practice in New York (license number 346452) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801408000.

Contact Information

	Pedram Shadibakhsh, FNP
	1078 E 32nd St, Brooklyn, NY 11210-4131
	(917) 450-2219
	Not Available

Map and Direction

Provider's Profile

Full Name	Pedram Shadibakhsh
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1078 E 32nd St, Brooklyn, 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: 1801408000
Provider Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 2466890785
Enrollment ID: I20240405001825

Medical Identifiers

Medical identifiers for Pedram Shadibakhsh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801408000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	346452 (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. Pedram Shadibakhsh allows following entities to bill medicare on his behalf.

Entity Name	Ahava Medical And Rehabilitation Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184878274 PECOS PAC ID: 1557416997 Enrollment ID: O20090908000443

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. Pedram Shadibakhsh 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
Pedram Shadibakhsh, FNP 1078 E 32nd St, Brooklyn, NY 11210-4131 Ph: (917) 450-2219	Pedram Shadibakhsh, FNP 1078 E 32nd St, Brooklyn, NY 11210-4131 Ph: (917) 450-2219

Reviews and Comments

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Pedram Shadibakhsh, FNP - Medicare Nurse Practitioner in Brooklyn, NY