Dr Imran Shafi, MD - Medicare Student in an Organized Health Care Education/Training Program in Fontana, CA

Dr Imran Shafi, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fontana, California. His current practice location is 9985 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 974-4719.

Dr Imran Shafi 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 1265630016.

Contact Information

Dr Imran Shafi, MD
9985 Sierra Ave,
Fontana, CA 92335-6720
(909) 974-4719
Not Available



Physician's Profile

Full NameDr Imran Shafi
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location9985 Sierra Ave, Fontana, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265630016
  • Provider Enumeration Date: 07/03/2007
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315088416
  • Enrollment ID: I20100112000378

Medical Identifiers

Medical identifiers for Dr Imran Shafi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265630016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry A 106930 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Dr Imran Shafi allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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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. Dr Imran Shafi 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 AddressPractice Location Address
Dr Imran Shafi, MD
16011 Butterfield Ranch Rd, # 228,
Chino Hills, CA 91709-7455

Ph: (909) 606-4242
Dr Imran Shafi, MD
9985 Sierra Ave,
Fontana, CA 92335-6720

Ph: (909) 974-4719

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