Mrs Shamim A Hasan, PA-C - Medicare Physician Assistant in Orlando, FL

Mrs Shamim A Hasan, PA-C is a medicare enrolled "Physician Assistant" in Orlando, Florida. Her current practice location is 11317 Lake Underhill Rd, Suite 600., Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 482-7788.

Mrs Shamim A Hasan is licensed to practice in Florida (license number PA9105410) 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 1003130287.

Contact Information

Mrs Shamim A Hasan, PA-C
11317 Lake Underhill Rd, Suite 600.,
Orlando, FL 32825-4435
(407) 482-7788
(407) 482-8698



Provider's Profile

Full NameMrs Shamim A Hasan
GenderFemale
SpecialityPhysician Assistant
Location11317 Lake Underhill Rd, Orlando, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003130287
  • Provider Enumeration Date: 03/17/2010
  • Last Update Date: 03/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0840524195
  • Enrollment ID: I20190620002162

Medical Identifiers

Medical identifiers for Mrs Shamim A Hasan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003130287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9105410 (Florida)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 Shamim A Hasan 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
Mrs Shamim A Hasan, PA-C
11317 Lake Underhill Rd, Suite 600.,
Orlando, FL 32825-4435

Ph: () -
Mrs Shamim A Hasan, PA-C
11317 Lake Underhill Rd, Suite 600.,
Orlando, FL 32825-4435

Ph: (407) 482-7788

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Physician Assistant Nurses in Orlando, FL

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Medicare: Not Enrolled in Medicare
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Phone: 407-423-1768    
Robyn Rachelle Kempf, PAC
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Practice Location: 1277 N Semoran Blvd Ste 101, Orlando, FL 32807
Phone: 407-730-8970    Fax: 407-730-8971
Lauren C. Meador, PA-C.
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Medicare: Medicare Enrolled
Practice Location: 1400 S Orange Ave, Orlando, FL 32806
Phone: 407-648-3800    
Mrs. Jean Fairchild Blythe, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5979 Vineland Rd Ste 101, Orlando, FL 32819
Phone: 407-355-3120    Fax: 407-355-3119
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Medicare: Medicare Enrolled
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Phone: 407-303-5781    Fax: 407-303-5794
Mr. Matthew Paul Diehl, PA-C
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Medicare: Medicare Enrolled
Practice Location: 615 E Princeton St Ste 101, Orlando, FL 32803
Phone: 407-236-0006    Fax: 407-236-0007

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