Leila Mahdavian, MD in Bronx, NY - Medicare General Practice

Leila Mahdavian, MD is a medicare enrolled "General Practice" physician in Bronx, New York. Her current practice location is 1010 Underhill Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 299-7295.

Leila Mahdavian is licensed to practice in New York (license number PO1992) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689094153.

Contact Information

	Leila Mahdavian, MD
	1010 Underhill Ave, Bronx, NY 10472-6012
	(718) 299-7295
	(718) 299-6797

Map and Direction

Physician's Profile

Full Name	Leila Mahdavian
Gender	Female
Speciality	General Practice
Location	1010 Underhill Ave, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689094153
Provider Enumeration Date: 04/23/2014
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2769841345
Enrollment ID: I20230629001383

Medical Identifiers

Medical identifiers for Leila Mahdavian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689094153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	PO1992 (New York)	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. Leila Mahdavian allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Leila Mahdavian 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
Leila Mahdavian, MD 3198 Grand Concourse, Bronx, NY 10458-1000 Ph: (718) 618-0401	Leila Mahdavian, MD 1010 Underhill Ave, Bronx, NY 10472-6012 Ph: (718) 299-7295

Reviews and Comments

General Practice Doctors in Bronx, NY

Dr. Keith Fratta, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 226 W 238th St # A, Bronx, NY 10463 Phone: 718-601-3300 Fax: 718-601-0313
Judith Brutus, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Dr. Akram Hamed Al Nababteh, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Dr. Ronald Lee Gross, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3765 Riverdale Ave, Suite 5, Bronx, NY 10463 Phone: 718-601-2700 Fax: 718-601-6102
Arpita Shah, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 5901 Palisade Ave, Bronx, NY 10471 Phone: 718-299-7295 Fax: 718-299-6797
Chau Nguyen, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-901-8203 Fax: 718-901-8704
Amanur Mohammed Rahman, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295

Leila Mahdavian, MD - Medicare General Practice in Bronx, NY