Mrs Shira Khoshkerman, PA-C in Encino, CA - Medicare Physician Assistant

Mrs Shira Khoshkerman, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Encino, California. Her current practice location is 17200 Ventura Blvd Ste 302, Encino, California. You can reach out to her office (for appointments etc.) via phone at (818) 905-8815.

Mrs Shira Khoshkerman is licensed to practice in California (license number PA58912) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063923738.

Contact Information

	Mrs Shira Khoshkerman, PA-C
	17200 Ventura Blvd Ste 302, Encino, CA 91316-5008
	(818) 905-8815
	Not Available

Physician's Profile

Full Name	Mrs Shira Khoshkerman
Gender	Female
Speciality	Physician Assistant - Medical
Location	17200 Ventura Blvd Ste 302, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063923738
Provider Enumeration Date: 10/20/2017
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 6507122207
Enrollment ID: I20171114000436

Medical Identifiers

Medical identifiers for Mrs Shira Khoshkerman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063923738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	C0006666 (Maryland)	Secondary
363AM0700X	Physician Assistant - Medical	PA58912 (California)	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. Mrs Shira Khoshkerman 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
Mrs Shira Khoshkerman, PA-C 17200 Ventura Blvd Ste 302, Encino, CA 91316-5008 Ph: () -	Mrs Shira Khoshkerman, PA-C 17200 Ventura Blvd Ste 302, Encino, CA 91316-5008 Ph: (818) 905-8815

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Mrs Shira Khoshkerman, PA-C - Medicare Physician Assistant in Encino, CA