Abdol A Mirsajadi, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Satellite Beach, Florida. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Burnham Woods Champa And Associates and his current practice location is
1275 S Patrick Dr, Suite C, Satellite Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 779-9838.
Abdol A Mirsajadi is licensed to practice in Florida (license number ME 40362) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235196080.
Physician's Profile
| Full Name | Abdol A Mirsajadi |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 54 Years |
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| Location | 1275 S Patrick Dr, Satellite Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Abdol A Mirsajadi graduated from medical school in 1970
NPI Data:
- NPI Number: 1235196080
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315040136
- Enrollment ID: I20070316000073
Medical Identifiers
Medical identifiers for Abdol A Mirsajadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235196080 | NPI | - | NPPES |
| 15843 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME 40362 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Burnham Woods Champa And Associates | 8325049596 | 6 |
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. Abdol A Mirsajadi allows following entities to bill medicare on his behalf.
| Entity Name | Burnham Woods Champa & Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851354732
PECOS PAC ID: 8325049596
Enrollment ID: O20070131000153 |
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| Entity Name | Adult & Child Counseling And Psychiatric Center, P.a |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629034996
PECOS PAC ID: 0042403610
Enrollment ID: O20101015000513 |
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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. Abdol A Mirsajadi 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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Abdol A Mirsajadi, MD
1275 S Patrick Dr, Suite C,
Satellite Beach, FL 32937-3963
Ph: (321) 779-9838 | Abdol A Mirsajadi, MD
1275 S Patrick Dr, Suite C,
Satellite Beach, FL 32937-3963
Ph: (321) 779-9838 |
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