Shabnam Shidfar, PA in Ann Arbor, MI - Medicare Physician Assistant

Shabnam Shidfar, PA is a medicare enrolled "Physician Assistant" in Ann Arbor, Michigan. Her current practice location is 1500 East Medical Center Dr, 2nd Floor Taubman Ctr Recp B, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-5851.

Shabnam Shidfar is licensed to practice in Michigan (license number 5601005189) 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 1205001021.

Contact Information

	Shabnam Shidfar, PA
	1500 East Medical Center Dr, 2nd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109-0348
	(734) 936-5851
	Not Available

Provider's Profile

Full Name	Shabnam Shidfar
Gender	Female
Speciality	Physician Assistant
Location	1500 East Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205001021
Provider Enumeration Date: 04/23/2008
Last Update Date: 04/23/2008

Medicare PECOS Information:

PECOS PAC ID: 5092886663
Enrollment ID: I20080625000617

Medical Identifiers

Medical identifiers for Shabnam Shidfar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205001021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601005189 (Michigan)	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. Shabnam Shidfar 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
Shabnam Shidfar, PA 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047	Shabnam Shidfar, PA 1500 East Medical Center Dr, 2nd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109-0348 Ph: (734) 936-5851

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Physician Assistant Nurses in Ann Arbor, MI

Carrie Kraeger Porter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-6666
Mrs. Katherine Ann Mccormack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Aubrey Lynn Boucher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, 2nd Floor Taubman Center Recp F, Ann Arbor, MI 48109 Phone: 734-936-5738
Ainslee Joy Rubino, MS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Andrea Bell Kmiec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Cindy Felcher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp A, Ann Arbor, MI 48109 Phone: 734-936-5850
Kelly M Oberhelman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr, 3rd Floor Taubman Center Recp D, Ann Arbor, MI 48109 Phone: 734-647-5944

Shabnam Shidfar, PA - Medicare Physician Assistant in Ann Arbor, MI