Dr Azriel Avezbadalov, DO in Fort Wayne, IN - Medicare Cardiovascular Disease (cardiology)

Dr Azriel Avezbadalov, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fort Wayne, Indiana. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Lutheran Medical Group Llc and his current practice location is 7950 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-2297.

Dr Azriel Avezbadalov is licensed to practice in Indiana (license number 02005736A) 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 1376833129.

Contact Information

	Dr Azriel Avezbadalov, DO
	7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
	(260) 432-2297
	(260) 434-6433

Map and Direction

Physician's Profile

Full Name	Dr Azriel Avezbadalov
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	13 Years
Location	7950 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Azriel Avezbadalov graduated from medical school in 2011

NPI Data:

NPI Number: 1376833129
Provider Enumeration Date: 04/13/2011
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2961780499
Enrollment ID: I20190823000572

Medical Identifiers

Medical identifiers for Dr Azriel Avezbadalov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376833129	NPI	-	NPPES
018825600	Medicaid	FL
PENDING	Other	FL	MEDICARE
300029932	Medicaid	IN
260690286	Other	IN	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	OS13717 (Florida)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	34.016578 (Ohio)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	72069 (Wisconsin)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	02005736A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franciscan Health Lafayette	Lafayette, IN	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Kosciusko Community Hospital	Warsaw, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Medical Group Llc	4981751617	264

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 Azriel Avezbadalov allows following entities to bill medicare on his behalf.

Entity Name	Lutheran Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705

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 Azriel Avezbadalov 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 Azriel Avezbadalov, DO 7850 Lago Del Mar Dr Apt 116, Boca Raton, FL 33433-4984 Ph: (646) 671-9252	Dr Azriel Avezbadalov, DO 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 432-2297

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Mr. Kenneth A Smith, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255
Dr. Carl Marc Williams, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Dr Azriel Avezbadalov, DO - Medicare Cardiovascular Disease (cardiology) in Fort Wayne, IN