Firooz Rezvani, MD is a medicare enrolled "Otolaryngology" physician in Port Jefferson, New York. His current practice location is
640 Belle Terre Rd, Bldg J, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 928-2121.
Firooz Rezvani is licensed to practice in New York (license number 128733) 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 1376650465.
Physician's Profile
Full Name | Firooz Rezvani |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 640 Belle Terre Rd, Port Jefferson, New York |
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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: 1376650465
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 01/05/2011
Medicare PECOS Information:
- PECOS PAC ID: 0446424105
- Enrollment ID: I20111116000185
Medical Identifiers
Medical identifiers for Firooz Rezvani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376650465 | NPI | - | NPPES |
00646295 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 128733 (New York) | 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. Firooz Rezvani 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 |
Firooz Rezvani, MD 640 Belle Terre Rd, Bldg J, Port Jefferson, NY 11777 Ph: (631) 928-2121 | Firooz Rezvani, MD 640 Belle Terre Rd, Bldg J, Port Jefferson, NY 11777 Ph: (631) 928-2121 |
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