Keivan Gazy, in Fulton, MD - Medicare Nurse Practitioner

Keivan Gazy, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fulton, Maryland. His current practice location is 8115 Maple Lawn Blvd Ste 350, Fulton, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 786-4527.

Keivan Gazy is licensed to practice in Maryland (license number R224515) 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 1225732357.

Contact Information

	Keivan Gazy,
	8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683
	(240) 786-4527
	Not Available

Map and Direction

Provider's Profile

Full Name	Keivan Gazy
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8115 Maple Lawn Blvd Ste 350, Fulton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225732357
Provider Enumeration Date: 03/30/2023
Last Update Date: 03/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5395101166
Enrollment ID: I20230520000187

Medical Identifiers

Medical identifiers for Keivan Gazy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225732357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R224515 (Maryland)	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. Keivan Gazy allows following entities to bill medicare on his behalf.

Entity Name	Esno Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740783539 PECOS PAC ID: 4385057470 Enrollment ID: O20210111000334

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. Keivan Gazy 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
Keivan Gazy, 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683 Ph: () -	Keivan Gazy, 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683 Ph: (240) 786-4527

Reviews and Comments

Nurse Practitioner Nurses in Fulton, MD

Zenia Mckoy, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7625 Maple Lawn Blvd, Suite 145, Fulton, MD 20759 Phone: 443-823-8147
Meghan Elizabeth Canose, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11810 W Market Pl Ste 300, Fulton, MD 20759 Phone: 240-425-4824
Jamie Huppmann, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7625 Maple Lawn Blvd Lowr Lobby, Fulton, MD 20759 Phone: 410-531-7557 Fax: 410-531-0818
Saudy Elizabeth Kanu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8115 Maple Lawn Blvd, Suite 350, Fulton, MD 20759 Phone: 240-786-4527
Queenta Banack, DO Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8115 Maple Lawn Blvd Ste 109, Fulton, MD 20759 Phone: 301-404-8724
Ms. Jo-ann Walter Middleton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11957 Lime Kiln Rd, Fulton, MD 20759 Phone: 443-271-1839

Keivan Gazy, - Medicare Nurse Practitioner in Fulton, MD