Dr Issam Mazen Awwad, MD in Phoenix, AZ - Medicare Student in an Organized Health Care Education/Training Program

Dr Issam Mazen Awwad, MD - Medicare Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Dr Issam Mazen Awwad, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Phoenix, Arizona. His current practice location is 1300 N 12th St Ste 320, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 521-3600.

Dr Issam Mazen Awwad is licensed to practice in * (Not Available) (license number ) 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 1508485012.

Contact Information

	Dr Issam Mazen Awwad, MD
	1300 N 12th St Ste 320, Phoenix, AZ 85006-2858
	(602) 521-3600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Issam Mazen Awwad
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1300 N 12th St Ste 320, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508485012
Provider Enumeration Date: 04/14/2020
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID: 6406279876
Enrollment ID: I20200702001443

Medical Identifiers

Medical identifiers for Dr Issam Mazen Awwad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508485012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	69853 (Arizona)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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 Issam Mazen Awwad 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 Issam Mazen Awwad, MD 1300 N 12th St Ste 320, Phoenix, AZ 85006-2858 Ph: (602) 521-3600	Dr Issam Mazen Awwad, MD 1300 N 12th St Ste 320, Phoenix, AZ 85006-2858 Ph: (602) 521-3600