Shafi Siddiqi Md A Professional Corporation - Medicare Primary Care in Lake Elsinore, CA

Shafi Siddiqi Md A Professional Corporation is a medicare enrolled primary clinic (General Practice) in Lake Elsinore, California. The current practice location for Shafi Siddiqi Md A Professional Corporation is 31569 Canyon Estates Dr Ste 201, Lake Elsinore, California. For appointments, you can reach them via phone at (951) 226-0866. The mailing address for Shafi Siddiqi Md A Professional Corporation is 31569 Canyon Estates Dr Ste 201, Lake Elsinore, California and phone number is (951) 226-0866.

Shafi Siddiqi Md A Professional Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477229995. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (951) 226-0866.

Contact Information

Shafi Siddiqi Md A Professional Corporation
31569 Canyon Estates Dr Ste 201
Lake Elsinore
CA 92532-0475
(951) 226-0866
(951) 226-0868

Primary Care Clinic Profile

Full NameShafi Siddiqi Md A Professional Corporation
SpecialityGeneral Practice
Location31569 Canyon Estates Dr Ste 201, Lake Elsinore, California
Authorized Official Name and PositionBrigette Jackson (CREDENTIALING SPECIALIST)
Authorized Official Contact9516670817
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shafi Siddiqi Md A Professional Corporation
31569 Canyon Estates Dr Ste 201
Lake Elsinore
CA 92532-0475

Ph: (951) 226-0866
Shafi Siddiqi Md A Professional Corporation
31569 Canyon Estates Dr Ste 201
Lake Elsinore
CA 92532-0475

Ph: (951) 226-0866

NPI Details:

NPI Number1477229995
Provider Enumeration Date08/17/2021
Last Update Date08/17/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6800293135
Medicare Enrollment IDO20210929000192

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Medical Identifiers

Medical identifiers for Shafi Siddiqi Md A Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477229995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shafi Siddiqi Md A Professional Corporation acts as a billing entity for following providers:
Provider NameShafi Ullah Siddiqi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538499470
PECOS PAC ID: 4385937929
Enrollment ID: I20160720000945

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Practice Location: 16770 Lakeshore Dr, Suite G, Lake Elsinore, CA 92530
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