Reza Sam Borhani, DO - Medicare Emergency Medicine in San Leandro, CA

Reza Sam Borhani, DO is a medicare enrolled "Emergency Medicine" physician in San Leandro, California. His current practice location is 2500 Merced St, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-1000.

Reza Sam Borhani is licensed to practice in California (license number 20A8433) 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 1699827402.

Contact Information

Reza Sam Borhani, DO
2500 Merced St,
San Leandro, CA 94577-4201
(510) 454-1000
Not Available



Physician's Profile

Full NameReza Sam Borhani
GenderMale
SpecialityEmergency Medicine
Location2500 Merced St, San Leandro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699827402
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 12/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365343845
  • Enrollment ID: I20040116000975

Medical Identifiers

Medical identifiers for Reza Sam Borhani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699827402NPI-NPPES
00AX84330MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20A8433 (California)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. Reza Sam Borhani allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Reza Sam Borhani 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
Reza Sam Borhani, DO
2500 Merced St,
San Leandro, CA 94577-4201

Ph: (510) 454-1000
Reza Sam Borhani, DO
2500 Merced St,
San Leandro, CA 94577-4201

Ph: (510) 454-1000

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Emergency Medicine Doctors in San Leandro, CA

Chin-hsiang Feng,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-518-5598    
Dr. Grace Mindy Lee, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    Fax: 203-688-5599
Dr. Vibha Kundi Gupta, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 517-648-0339    
Allison Boyd, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Dr. Bing Chung Shen, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Anthony Michael Montefusco Iv,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13855 E 14th St, San Leandro, CA 94578
Phone: 209-342-2300    Fax: 209-524-4240
Mark Makoto Tanaka, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    

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