Omid Benjamin Mehdizadeh, in Santa Monica, CA

Omid Benjamin Mehdizadeh, is a medicare enrolled "Otolaryngology" physician in Santa Monica, California. He went to University Of California, Davis School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Providence Saint Johns Medical Foundation and his current practice location is 2125 Arizona Ave, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 829-8701.

Omid Benjamin Mehdizadeh is licensed to practice in California (license number 150014) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770816464.

Contact Information

	Omid Benjamin Mehdizadeh,
	2125 Arizona Ave, Santa Monica, CA 90404-1337
	(310) 829-8701
	(310) 315-4062

Map and Direction

Physician's Profile

Full Name	Omid Benjamin Mehdizadeh
Gender	Male
Speciality	Otolaryngology
Experience	13 Years
Location	2125 Arizona Ave, Santa Monica, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omid Benjamin Mehdizadeh attended and graduated from University Of California, Davis School Of Medicine in 2012

NPI Data:

NPI Number: 1770816464
Provider Enumeration Date: 09/12/2009
Last Update Date: 05/16/2022

Medicare PECOS Information:

PECOS PAC ID: 5991076135
Enrollment ID: I20170804003259

Medical Identifiers

Medical identifiers for Omid Benjamin Mehdizadeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770816464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	150014 (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. Omid Benjamin Mehdizadeh allows following entities to bill medicare on his 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. Omid Benjamin Mehdizadeh 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
Omid Benjamin Mehdizadeh, 2020 Santa Monica Blvd Fl 3, Santa Monica, CA 90404-2023 Ph: (310) 829-8868	Omid Benjamin Mehdizadeh, 2125 Arizona Ave, Santa Monica, CA 90404-1337 Ph: (310) 829-8701

Reviews and Comments

Otolaryngology Doctors in Santa Monica, CA

Andrew Alexander Mccall, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd Ste 302, Santa Monica, CA 90401 Phone: 424-259-6559
Dr. Floyd Monte Purcelli, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd, #465, Santa Monica, CA 90404 Phone: 310-829-0990 Fax: 310-829-0280
Jivianne Kristine Tan Lee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd Ste 302, Santa Monica, CA 90401 Phone: 424-259-6559 Fax: 310-319-3877
Cong Ran, Otolaryngology Medicare: Medicare Enrolled Practice Location: 1317 5th St Ste 300, Santa Monica, CA 90401 Phone: 310-434-0044
Mr. Eddie A Ramirez, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd Ste 302, Santa Monica, CA 90401 Phone: 424-259-6559 Fax: 310-319-3877
Dr. Sheldon N. Klausner, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd, Ste 870-w, Santa Monica, CA 90404 Phone: 310-829-1703 Fax: 310-494-9450

Omid Benjamin Mehdizadeh, - Medicare Otolaryngology in Santa Monica, CA