Dr Hossein Azadi, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Willits, California. His current practice location is
3 Marcela Dr, Willits, California. You can reach out to his office (for appointments etc.) via phone at
(707) 459-6115.
Dr Hossein Azadi is licensed to practice in California (license number A195234) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568015147.
Physician's Profile
| Full Name | Dr Hossein Azadi |
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| Gender | Male |
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| Speciality | Preventive Medicine - Addiction Medicine |
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| Location | 3 Marcela Dr, Willits, 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: 1568015147
- Provider Enumeration Date: 07/22/2019
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416314992
- Enrollment ID: I20230530001044
Medical Identifiers
Medical identifiers for Dr Hossein Azadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568015147 | NPI | - | NPPES |
| 123456 | Other | NM | UNMH |
| A195234 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| RS-12345 | Other | NM | UNMH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083A0300X | Preventive Medicine - Addiction Medicine | A195234 (California) | 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 Hossein Azadi allows following entities to bill medicare on his behalf.
| Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881055366
PECOS PAC ID: 4486932100
Enrollment ID: O20161101001703 |
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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. Dr Hossein Azadi 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 Hossein Azadi, MD
3 Marcela Dr,
Willits, CA 95490-5769
Ph: (707) 459-6115 | Dr Hossein Azadi, MD
3 Marcela Dr,
Willits, CA 95490-5769
Ph: (707) 459-6115 |
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