Seyedeh Maryam Bashiri, MD - Medicare Family Practice in Pine Bluff, AR

Seyedeh Maryam Bashiri, MD is a medicare enrolled "Hospitalist" physician in Pine Bluff, Arkansas. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Foundation and her current practice location is 4010 S Mulberry St, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 541-6000.

Seyedeh Maryam Bashiri is licensed to practice in California (license number A166072) 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 1477900850.

Contact Information

Seyedeh Maryam Bashiri, MD
4010 S Mulberry St,
Pine Bluff, AR 71603-7000
(870) 541-6000
Not Available



Physician's Profile

Full NameSeyedeh Maryam Bashiri
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location4010 S Mulberry St, Pine Bluff, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Seyedeh Maryam Bashiri graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1477900850
  • Provider Enumeration Date: 05/16/2016
  • Last Update Date: 11/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305195439
  • Enrollment ID: I20210211002291

Medical Identifiers

Medical identifiers for Seyedeh Maryam Bashiri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477900850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A166072 (California)Secondary
207QG0300XFamily Medicine - Geriatric Medicine A166072 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208M00000XHospitalist A166072 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Rosa Memorial HospitalSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051293

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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. Seyedeh Maryam Bashiri allows following entities to bill medicare on her behalf.
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409

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Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956

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Entity NameHospitalist Medicine Physicians Of California - Fairfield Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487132007
PECOS PAC ID: 3779836085
Enrollment ID: O20181101002925

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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. Seyedeh Maryam Bashiri 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
Seyedeh Maryam Bashiri, MD
4010 S Mulberry St,
Pine Bluff, AR 71603-7000

Ph: (870) 541-6000
Seyedeh Maryam Bashiri, MD
4010 S Mulberry St,
Pine Bluff, AR 71603-7000

Ph: (870) 541-6000

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Hospitalist Doctors in Pine Bluff, AR

Carla Yvonne Pumphrey, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603
Phone: 870-541-6000    

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