Fawad Zadran, OD is a medicare enrolled "Optometrist" provider in San Andreas, California. He went to Southern California College Of Optometry and graduated in 2021 and has 3 years of diverse experience with area of expertise as Optometry. He is a member of the group practice M A C T Health Board Incorporated and his current practice location is
1113 Highway 49, San Andreas, California. You can reach out to his office (for appointments etc.) via phone at
(209) 755-1480.
Fawad Zadran is licensed to practice in California (license number 34832) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891360111.
Healthcare Provider's Profile
| Full Name | Fawad Zadran |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 3 Years |
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| Location | 1113 Highway 49, San Andreas, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Fawad Zadran attended and graduated from Southern California College Of Optometry in 2021
NPI Data:
- NPI Number: 1891360111
- Provider Enumeration Date: 05/20/2021
- Last Update Date: 11/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678979622
- Enrollment ID: I20220907000416
Medical Identifiers
Medical identifiers for Fawad Zadran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891360111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 34832 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| M A C T Health Board Incorporated | 8325936974 | 20 |
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. Fawad Zadran allows following entities to bill medicare on his behalf.
| Provider Name | M A C T Health Board Incorporated |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366519431
PECOS PAC ID: 8325936974
Enrollment ID: O20040305001143 |
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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. Fawad Zadran 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 |
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Fawad Zadran, OD
1089 Crestline Cir,
El Dorado Hills, CA 95762-7224
Ph: (916) 850-9829 | Fawad Zadran, OD
1113 Highway 49,
San Andreas, CA 95249
Ph: (209) 755-1480 |
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