Babak Fayyazi, NP in Stockbridge, GA - Medicare Nurse Practitioner

Babak Fayyazi, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Stockbridge, Georgia. His current practice location is 145 Eagles Walk Ste A, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 914-1808.

Babak Fayyazi is licensed to practice in Georgia (license number RN254617) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881297992.

Contact Information

	Babak Fayyazi, NP
	145 Eagles Walk Ste A, Stockbridge, GA 30281-7340
	(770) 914-1808
	Not Available

Map and Direction

Provider's Profile

Full Name	Babak Fayyazi
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	145 Eagles Walk Ste A, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881297992
Provider Enumeration Date: 11/19/2020
Last Update Date: 06/09/2021

Medicare PECOS Information:

PECOS PAC ID: 4880002799
Enrollment ID: I20210830001584

Medical Identifiers

Medical identifiers for Babak Fayyazi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881297992	NPI	-	NPPES
RN254617	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN254617 (Georgia)	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. Babak Fayyazi allows following entities to bill medicare on his behalf.

Entity Name	Pruitthealth Physicians Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256

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. Babak Fayyazi 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
Babak Fayyazi, NP 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 Ph: (470) 615-3389	Babak Fayyazi, NP 145 Eagles Walk Ste A, Stockbridge, GA 30281-7340 Ph: (770) 914-1808

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213

Babak Fayyazi, NP - Medicare Nurse Practitioner in Stockbridge, GA