SHAZAM BACCHUS, APN

Primary Care Nurse Practitioner · NEWARK, NJ

Individual Active NPI 1972133254

Medicare payment data Part B · 2022

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2022	23	31	$5,080	$1,773	$1,414

Taxonomy & licensure

Specialty	Code	Primary	License	State
Primary Care Nurse Practitioner	363LP2300X	✓	26NJ01004000	NJ

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.