Ms Haleh Shafa, OD in Duluth, GA - Medicare Optometry Provider

Ms Haleh Shafa, OD is a medicare enrolled "Optometrist" provider in Duluth, Georgia. She went to Pennsylvania College Of Optometry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 289-8777.

Ms Haleh Shafa is licensed to practice in Georgia (license number OPT002259) 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 1588792303.

Contact Information

	Ms Haleh Shafa, OD
	3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506
	(404) 289-8777
	(404) 289-9949

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Haleh Shafa
Gender	Female
Speciality	Optometry
Experience	19 Years
Location	3650 Steve Reynolds Blvd, Duluth, Georgia
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:

Ms Haleh Shafa attended and graduated from Pennsylvania College Of Optometry in 2005

NPI Data:

NPI Number: 1588792303
Provider Enumeration Date: 03/01/2007
Last Update Date: 01/07/2022

Medicare PECOS Information:

PECOS PAC ID: 8022257997
Enrollment ID: I20130625000810

Medical Identifiers

Medical identifiers for Ms Haleh Shafa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588792303	NPI	-	NPPES
141200948A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT002259 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	660

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 Haleh Shafa allows following entities to bill medicare on her behalf.

Provider Name	The Southeast Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Haleh Shafa 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 Haleh Shafa, OD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070	Ms Haleh Shafa, OD 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506 Ph: (404) 289-8777

Reviews and Comments

Optometrist in Duluth, GA

Dr. Alexis Yu, Optometrist Medicare: Medicare Enrolled Practice Location: 2635 Pleasant Hill Rd, Duluth, GA 30096 Phone: 770-476-2164
Christina T Phan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2730 Peachtree Industrial Blvd Ste 206, Duluth, GA 30097 Phone: 404-721-3268 Fax: 404-475-4880
Dr. Laila Mousavi Shah, Optometrist Medicare: Medicare Enrolled Practice Location: 2435 Commerce Ave Bldg 2200, Duluth, GA 30096 Phone: 858-472-6162
Dr. Scott Roland Robirds, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11460 Johns Creek Parkway, Duluth, GA 30097 Phone: 678-415-3830 Fax: 678-415-2683
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2435 Commerce Ave, Duluth, GA 30096 Phone: 770-822-3600
Dr. Patrick L Flores, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3980 Venture Dr, Duluth, GA 30096 Phone: 770-622-3133 Fax: 770-622-8939
Samantha Lee Claxton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3820 Pleasant Hill Rd Ste 5, Duluth, GA 30096 Phone: 770-476-9585

Ms Haleh Shafa, OD - Medicare Optometrist in Duluth, GA