Shoreh R Fazeli, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in South Weymouth, Massachusetts. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Metro South Pathology, Inc. and her current practice location is
55 Fogg Rd, South Weymouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 340-8397.
Shoreh R Fazeli is licensed to practice in Massachusetts (license number 281412) 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 1730535170.
Physician's Profile
Full Name | Shoreh R Fazeli |
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Gender | Female |
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Speciality | Pathology |
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Experience | 18 Years |
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Location | 55 Fogg Rd, South Weymouth, Massachusetts |
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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:
- Shoreh R Fazeli graduated from medical school in 2006
NPI Data:
- NPI Number: 1730535170
- Provider Enumeration Date: 05/04/2016
- Last Update Date: 08/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496040883
- Enrollment ID: I20220608001572
Medical Identifiers
Medical identifiers for Shoreh R Fazeli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730535170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 281412 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Metro South Pathology, Inc. | 8527030972 | 5 |
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. Shoreh R Fazeli allows following entities to bill medicare on her behalf.
Entity Name | Metro South Pathology, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598870800 PECOS PAC ID: 8527030972 Enrollment ID: O20040809000321 |
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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. Shoreh R Fazeli 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 |
Shoreh R Fazeli, 55 Fogg Rd, South Weymouth, MA 02190-2432 Ph: (781) 340-8397 | Shoreh R Fazeli, 55 Fogg Rd, South Weymouth, MA 02190-2432 Ph: (781) 340-8397 |
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