Dr Siamak Shahriari, PHD MD - Medicare Obstetrics & Gynecology in Blytheville, AR

Dr Siamak Shahriari, PHD MD is a medicare enrolled "Obstetrics & Gynecology" physician in Blytheville, Arkansas. His current practice location is 1521 N 10th St, Ste G, Blytheville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 763-0222.

Dr Siamak Shahriari is licensed to practice in Arkansas (license number E0231) 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 1770657827.

Contact Information

Dr Siamak Shahriari, PHD MD
1521 N 10th St, Ste G,
Blytheville, AR 72315
(870) 763-0222
(870) 763-0250



Physician's Profile

Full NameDr Siamak Shahriari
GenderMale
SpecialityObstetrics & Gynecology
Location1521 N 10th St, Blytheville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770657827
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 07/26/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2668669581
  • Enrollment ID: I20101203001186

Medical Identifiers

Medical identifiers for Dr Siamak Shahriari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770657827NPI-NPPES
125939001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology E0231 (Arkansas)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 Siamak Shahriari allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588654016
PECOS PAC ID: 4082528955
Enrollment ID: O20031219000706

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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 Siamak Shahriari 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 Siamak Shahriari, PHD MD
1521 N 10th St, Ste G,
Blytheville, AR 72315

Ph: (870) 763-0222
Dr Siamak Shahriari, PHD MD
1521 N 10th St, Ste G,
Blytheville, AR 72315

Ph: (870) 763-0222

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Obstetrics & Gynecology Doctors in Blytheville, AR


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