Zarghona Fazli, is a medicare enrolled "Audiologist" provider in Vallejo, California. Her current practice location is
1761 Broadway St Ste 200, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at
(707) 645-2500.
Zarghona Fazli is licensed to practice in * (Not Available) (license number ) 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 1992487680.
Healthcare Provider's Profile
| Full Name | Zarghona Fazli |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 1761 Broadway St Ste 200, Vallejo, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992487680
- Provider Enumeration Date: 08/02/2023
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375994767
- Enrollment ID: I20240110002411
Medical Identifiers
Medical identifiers for Zarghona Fazli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992487680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Zarghona Fazli allows following entities to bill medicare on her behalf.
| Provider Name | Permanente Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Zarghona Fazli 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 |
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Zarghona Fazli,
1761 Broadway St Ste 200,
Vallejo, CA 94589-2227
Ph: (707) 645-2500 | Zarghona Fazli,
1761 Broadway St Ste 200,
Vallejo, CA 94589-2227
Ph: (707) 645-2500 |
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