Dr Mehrdod Shakouri Eleezeh, DO is a medicare enrolled "General Practice" physician in Casa Grande, Arizona. His current practice location is
560 N Camino Mercado Ste 7, Casa Grande, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 836-5538.
Dr Mehrdod Shakouri Eleezeh is licensed to practice in Arizona (license number 009309) 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 1588190730.
Physician's Profile
Full Name | Dr Mehrdod Shakouri Eleezeh |
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Gender | Male |
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Speciality | General Practice |
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Location | 560 N Camino Mercado Ste 7, Casa Grande, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588190730
- Provider Enumeration Date: 05/10/2017
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557525490
- Enrollment ID: I20220607001364
Medical Identifiers
Medical identifiers for Dr Mehrdod Shakouri Eleezeh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588190730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 009309 (Arizona) | 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 Mehrdod Shakouri Eleezeh allows following entities to bill medicare on his behalf.
Entity Name | Joel P. Mascaro, D.o., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922270339 PECOS PAC ID: 7517045636 Enrollment ID: O20080415000394 |
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Entity Name | Prescott Healthcare Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821454505 PECOS PAC ID: 4385940295 Enrollment ID: O20160302001795 |
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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 Mehrdod Shakouri Eleezeh 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 Mehrdod Shakouri Eleezeh, DO 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 Ph: (520) 836-5538 | Dr Mehrdod Shakouri Eleezeh, DO 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 Ph: (520) 836-5538 |
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