Maryam Farazha, MD in Santa Monica, CA - Medicare Family Practice

Maryam Farazha, MD is a medicare enrolled "Family Medicine" physician in Santa Monica, California. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Saint Johns Medical Foundation and her current practice location is 1821 Wilshire Blvd Ste 100, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 575-3100.

Maryam Farazha is licensed to practice in California (license number A101291) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063416840.

Contact Information

	Maryam Farazha, MD
	1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627
	(310) 575-3100
	(310) 575-3102

Map and Direction

Physician's Profile

Full Name	Maryam Farazha
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	1821 Wilshire Blvd Ste 100, Santa Monica, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Maryam Farazha graduated from medical school in 2000

NPI Data:

NPI Number: 1063416840
Provider Enumeration Date: 06/09/2005
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 3870486103
Enrollment ID: I20150827000611

Medical Identifiers

Medical identifiers for Maryam Farazha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063416840	NPI	-	NPPES
8127890	Other	MD	MAMSI
K249 0002	Other	MD	CAREFIRST BLUE CHOICE
64147501	Other	MD	CAREFIRST BC/BS OF MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D0060512 (Maryland)	Secondary
207Q00000X	Family Medicine	A101291 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Saint John's Health Center	Santa monica, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Saint Johns Medical Foundation	0840548624	273

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. Maryam Farazha allows following entities to bill medicare on her behalf.

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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. Maryam Farazha 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
Maryam Farazha, MD 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 Ph: (310) 575-3100	Maryam Farazha, MD 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 Ph: (310) 575-3100

Reviews and Comments

Family Medicine Doctors in Santa Monica, CA

Dr. Jamie Ann Elson-wolin, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2121 Wilshire Blvd, Suite 306, Santa Monica, CA 90403 Phone: 310-264-0765 Fax: 310-829-0765
Dr. Patricia Yee-ling Chang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401 Phone: 310-395-5588
Meron Abreham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700
Martin Louis Alpert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403 Phone: 310-393-0739 Fax: 310-395-2063
Olivia Taeko Ishibashi, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4711
Edison Victor De Mello, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Arizona Avenue, Santa Monica, CA 90401 Phone: 310-451-8880 Fax: 310-451-8803
Dr. Brian Yoshio Laing, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700 Fax: 310-453-5106

Maryam Farazha, MD - Medicare Family Practice in Santa Monica, CA