Shihab Al-deen Mustafa, is a medicare enrolled "Physician Assistant" in Seffner, Florida. His current practice location is
305 Dakota Hill Dr, Seffner, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 802-3964.
Shihab Al-deen Mustafa is licensed to practice in * (Not Available) (license number ) 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 1467166512.
Provider's Profile
| Full Name | Shihab Al-deen Mustafa |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 305 Dakota Hill Dr, Seffner, Florida |
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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: 1467166512
- Provider Enumeration Date: 01/12/2023
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779016696
- Enrollment ID: I20241031000661
Medical Identifiers
Medical identifiers for Shihab Al-deen Mustafa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467166512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Shihab Al-deen Mustafa 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 |
|---|
Shihab Al-deen Mustafa,
3200 S University Dr,
Davie, FL 33328-2018
Ph: () - | Shihab Al-deen Mustafa,
305 Dakota Hill Dr,
Seffner, FL 33584-5028
Ph: (813) 802-3964 |
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