Dr Mohammed Mortazavi, MD in Tucson, AZ

Dr Mohammed Mortazavi, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in Tucson, Arizona. His current practice location is 5199 E Farness Dr Ste 101, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 222-8076.

Dr Mohammed Mortazavi is licensed to practice in Arizona (license number 49421) 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 1871740241.

Contact Information

	Dr Mohammed Mortazavi, MD
	5199 E Farness Dr Ste 101, Tucson, AZ 85712
	(520) 222-8076
	(520) 300-7156

Map and Direction

Physician's Profile

Full Name	Dr Mohammed Mortazavi
Gender	Male
Speciality	Pediatrics - Sports Medicine
Location	5199 E Farness Dr Ste 101, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871740241
Provider Enumeration Date: 08/27/2008
Last Update Date: 05/22/2020

Medicare PECOS Information:

PECOS PAC ID: 8820240203
Enrollment ID: I20140814001227

Medical Identifiers

Medical identifiers for Dr Mohammed Mortazavi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871740241	NPI	-	NPPES
923231	Medicaid	AZ
1871740241	Other	AZ	NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0010X	Pediatrics - Sports Medicine	49421 (Arizona)	Primary
2081S0010X	Physical Medicine & Rehabilitation - Sports Medicine	49421 (Arizona)	Secondary

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 Mohammed Mortazavi allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

Entity Name	Northwest Allied Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003833179 PECOS PAC ID: 7618972514 Enrollment ID: O20060928000110

Entity Name	Tmc Medical Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996

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 Mohammed Mortazavi 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 Mohammed Mortazavi, MD 5199 E Farness Dr Ste 101, Tucson, AZ 85712-2262 Ph: (520) 222-8076	Dr Mohammed Mortazavi, MD 5199 E Farness Dr Ste 101, Tucson, AZ 85712 Ph: (520) 222-8076

Reviews and Comments

Pediatrics Doctors in Tucson, AZ

Dr. Sivapriya Ramakrishnan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1628 North Alvernon Way, Tucson Central Pediatrics, Tucson, AZ 85712 Phone: 520-325-8000
Ashley Azizi Assadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7944
Dr. Jessica Wright, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111
Robert Serlin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6238 E Pima St, Tucson, AZ 85712 Phone: 520-290-0022 Fax: 520-290-0044
Dr. Charles Hoffmeister, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2104 E Drachman St, Tucson, AZ 85719 Phone: 541-954-5666
Monika Marta Lewanczyk, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-7644
Dr. Scott Thomas Radomsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7507 E. Tanque Verde Road, 101, Tucson, AZ 85715 Phone: 520-722-2585 Fax: 520-722-1097

Dr Mohammed Mortazavi, MD - Medicare Pediatrics in Tucson, AZ