Shaza Ben Khadra, MD in Providence, RI - Medicare Pathology

Shaza Ben Khadra, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-5057.

Shaza Ben Khadra is licensed to practice in Rhode Island (license number LP04980) 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 1477176444.

Contact Information

	Shaza Ben Khadra, MD
	593 Eddy St, Providence, RI 02903-4923
	(401) 444-5057
	(401) 606-1233

Physician's Profile

Full Name	Shaza Ben Khadra
Gender	Female
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477176444
Provider Enumeration Date: 05/25/2020
Last Update Date: 05/25/2020

Medicare PECOS Information:

PECOS PAC ID: 5799106514
Enrollment ID: I20200603002521

Medical Identifiers

Medical identifiers for Shaza Ben Khadra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477176444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	LP04980 (Rhode Island)	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. Shaza Ben Khadra 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
Shaza Ben Khadra, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5057	Shaza Ben Khadra, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5057

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Pathology Doctors in Providence, RI

Dr. Ga Hie Nam, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5057 Fax: 401-444-8514
N Peter Libbey, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 825 Chalkstone Ave, Roger Williams Medical Center/pathology Dept., Providence, RI 02908 Phone: 401-456-2162 Fax: 401-456-2131
Sara Maleki, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 12, Providence, RI 02903 Phone: 401-444-8515 Fax: 401-444-8514
Mirfrida Geller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Dr. Lisa Goldstein, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Department Of Pathology, Providence, RI 02906 Phone: 401-793-4246 Fax: 401-274-5154
Dr. Gladys Telang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 10, Providence, RI 02903 Phone: 401-444-7959 Fax: 401-444-7144
Xin He, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4923

Shaza Ben Khadra, MD - Medicare Pathology in Providence, RI