Mahmood Fathollazadeh, PA-C in Colton, CA - Medicare Physician Assistant

Mahmood Fathollazadeh, PA-C is a medicare enrolled "Physician Assistant" in Colton, California. His current practice location is 1850 E Washington St, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 887-2991.

Mahmood Fathollazadeh is licensed to practice in California (license number PA12070) 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 1386711158.

Contact Information

	Mahmood Fathollazadeh, PA-C
	1850 E Washington St, Colton, CA 92324-4621
	(909) 887-2991
	(909) 887-5694

Map and Direction

Provider's Profile

Full Name	Mahmood Fathollazadeh
Gender	Male
Speciality	Physician Assistant
Location	1850 E Washington St, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386711158
Provider Enumeration Date: 11/29/2006
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5496943821
Enrollment ID: I20101229000169

Medical Identifiers

Medical identifiers for Mahmood Fathollazadeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386711158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA12070 (California)	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. Mahmood Fathollazadeh 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
Mahmood Fathollazadeh, PA-C 1850 E Washington St, Colton, CA 92324-4621 Ph: (909) 887-2991	Mahmood Fathollazadeh, PA-C 1850 E Washington St, Colton, CA 92324-4621 Ph: (909) 887-2991

Reviews and Comments

Physician Assistant Nurses in Colton, CA

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Edward V. Schelert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Ave, Arrowhead Regional Medical Center, Colton, CA 92324 Phone: 909-580-1000 Fax: 909-580-3333
Brian Kent Heaton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3390
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Mahmood Fathollazadeh, PA-C - Medicare Physician Assistant in Colton, CA