Maryam Gholizadeh, MD in Orange, CA

Maryam Gholizadeh, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Orange, California. Her current practice location is 1120 W La Veta Ave, Ste. 100, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 289-4704.

Maryam Gholizadeh is licensed to practice in California (license number A83935) 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 1194724583.

Contact Information

	Maryam Gholizadeh, MD
	1120 W La Veta Ave, Ste. 100, Orange, CA 92868-4231
	(714) 289-4704
	Not Available

Map and Direction

Physician's Profile

Full Name	Maryam Gholizadeh
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	1120 W La Veta Ave, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194724583
Provider Enumeration Date: 07/18/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8527044585
Enrollment ID: I20040629000810

Medical Identifiers

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

Identifier	Type	State	Issuer
1194724583	NPI	-	NPPES
00A839350	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	A83935 (California)	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. Maryam Gholizadeh allows following entities to bill medicare on her behalf.

Entity Name	University Surgeons Of Orange A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806904 PECOS PAC ID: 6901705227 Enrollment ID: O20040106000614

Entity Name	Valley Childrens Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593

Entity Name	Children's Hospital Of Orange County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275975104 PECOS PAC ID: 6406944883 Enrollment ID: O20181213000428

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 Gholizadeh 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 Gholizadeh, MD 1120 W La Veta Ave, Ste. 100, Orange, CA 92868-4231 Ph: (714) 289-4704	Maryam Gholizadeh, MD 1120 W La Veta Ave, Ste. 100, Orange, CA 92868-4231 Ph: (714) 289-4704

Reviews and Comments

Surgery Doctors in Orange, CA

Xuan-binh D Pham, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 W La Veta Ave Ste 320, Orange, CA 92868 Phone: 714-598-1194
Dr. Douglas Albert Brownell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1140 W La Veta Ave Ste 850, Orange, CA 92868 Phone: 714-997-4961 Fax: 714-560-4455
Shray Malik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3800 W Chapman Ave Ste 6200, Orange, CA 92868 Phone: 714-456-6262
John Clifford German, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 396 S Main St Ste 200, Orange, CA 92868 Phone: 714-361-4480 Fax: 714-361-4490
Michael J Stamos, MD Surgery Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-8978
Reed Ayabe, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 808-392-4919
Dr. Eric James Kuncir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 City Blvd W, Suite 1600, Orange, CA 92868 Phone: 714-456-5890 Fax: 714-456-6048

Maryam Gholizadeh, MD - Medicare Surgery in Orange, CA