Farhat Mawlavizada, PA-C in San Jose, CA - Medicare Physician Assistant

Farhat Mawlavizada, PA-C is a medicare enrolled "Physician Assistant" in San Jose, California. Her current practice location is 225 N Jackson Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 729-2819.

Farhat Mawlavizada is licensed to practice in * (Not Available) (license number ) 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 1588149199.

Contact Information

	Farhat Mawlavizada, PA-C
	225 N Jackson Ave, San Jose, CA 95116-1603
	(408) 729-2819
	(408) 928-7092

Map and Direction

Provider's Profile

Full Name	Farhat Mawlavizada
Gender	Female
Speciality	Physician Assistant
Location	225 N Jackson Ave, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588149199
Provider Enumeration Date: 09/28/2018
Last Update Date: 10/04/2018

Medicare PECOS Information:

PECOS PAC ID: 4688912348
Enrollment ID: I20190205002712

Medical Identifiers

Medical identifiers for Farhat Mawlavizada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588149199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Farhat Mawlavizada 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
Farhat Mawlavizada, PA-C 2100 Powell St Ste 900, Emeryville, CA 94608-1844 Ph: (510) 350-2832	Farhat Mawlavizada, PA-C 225 N Jackson Ave, San Jose, CA 95116-1603 Ph: (408) 729-2819

Reviews and Comments

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Farhat Mawlavizada, PA-C - Medicare Physician Assistant in San Jose, CA