Dr Azadeh Farokhi, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Oshkosh, Wisconsin. Her current practice location is
855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 303-8700.
Dr Azadeh Farokhi is licensed to practice in Wisconsin (license number 63435-020) 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 1467699595.
Physician's Profile
| Full Name | Dr Azadeh Farokhi |
|---|
| Gender | Female |
|---|
| Speciality | Preventive Medicine - Occupational Medicine |
|---|
| Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1467699595
- Provider Enumeration Date: 01/12/2009
- Last Update Date: 01/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 4587897780
- Enrollment ID: I20160906002354
Medical Identifiers
Medical identifiers for Dr Azadeh Farokhi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467699595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 63435-020 (Wisconsin) | 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. Dr Azadeh Farokhi allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454 |
|---|
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. Dr Azadeh Farokhi 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 |
|---|
Dr Azadeh Farokhi, MD
855 N Westhaven Dr,
Oshkosh, WI 54904-7668
Ph: (920) 303-8700 | Dr Azadeh Farokhi, MD
855 N Westhaven Dr,
Oshkosh, WI 54904-7668
Ph: (920) 303-8700 |
Reviews and Comments