Shabnam Ghazizadeh, MD in Anaheim, CA - Medicare Otolaryngology

Shabnam Ghazizadeh, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Anaheim, California. Her current practice location is 500 S Anaheim Hills Rd Ste 242, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (949) 209-9748.

Shabnam Ghazizadeh is licensed to practice in California (license number A155697) 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 1649603499.

Contact Information

	Shabnam Ghazizadeh, MD
	500 S Anaheim Hills Rd Ste 242, Anaheim, CA 92807-4760
	(949) 209-9748
	Not Available

Map and Direction

Physician's Profile

Full Name	Shabnam Ghazizadeh
Gender	Female
Speciality	Otolaryngology - Facial Plastic Surgery
Location	500 S Anaheim Hills Rd Ste 242, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649603499
Provider Enumeration Date: 08/15/2013
Last Update Date: 01/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1153654926
Enrollment ID: I20221115003190

Medical Identifiers

Medical identifiers for Shabnam Ghazizadeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649603499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YS0123X	Otolaryngology - Facial Plastic Surgery	A155697 (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. Shabnam Ghazizadeh 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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Shabnam Ghazizadeh 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
Shabnam Ghazizadeh, MD 500 S Anaheim Hills Rd Ste 242, Anaheim, CA 92807-4760 Ph: (949) 209-9748	Shabnam Ghazizadeh, MD 500 S Anaheim Hills Rd Ste 242, Anaheim, CA 92807-4760 Ph: (949) 209-9748

Reviews and Comments

Otolaryngology Doctors in Anaheim, CA

Niklaus Vonryan Eriksen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3460 E La Palma Ave Ste 202, Anaheim, CA 92806 Phone: 888-988-2800
Brian Paul Kim, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Dr. Nainamohamed Abdul Rahman, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1761 W Romneya Dr Ste J, Anaheim, CA 92801 Phone: 714-535-4844 Fax: 714-776-8883
David B. Keschner, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Annette M. Luetzow, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Marc H. Klau, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Dr. Michael W. Keefe, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 714-279-4127

Shabnam Ghazizadeh, MD - Medicare Otolaryngology in Anaheim, CA