Dr Mahdieh Fazel Jedlowski, MD is a medicare enrolled "Dermatology" provider in Tucson, Arizona. Her current practice location is
7165 N Pima Canyon Dr, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 694-8888.
Dr Mahdieh Fazel Jedlowski is licensed to practice in Arizona (license number 72061) 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 1679902449.
Healthcare Provider's Profile
| Full Name | Dr Mahdieh Fazel Jedlowski |
|---|
| Gender | Female |
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| Speciality | Dermatology |
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| Location | 7165 N Pima Canyon Dr, Tucson, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679902449
- Provider Enumeration Date: 11/02/2013
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204226558
- Enrollment ID: I20240612001537
Medical Identifiers
Medical identifiers for Dr Mahdieh Fazel Jedlowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679902449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | S021618 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | R78135 (Arizona) | Secondary |
| 207N00000X | Dermatology | 72061 (Arizona) | 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. Dr Mahdieh Fazel Jedlowski 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 |
|---|
Dr Mahdieh Fazel Jedlowski, MD
5301 E Grant Rd,
Tucson, AZ 85712-2805
Ph: (520) 327-5461 | Dr Mahdieh Fazel Jedlowski, MD
7165 N Pima Canyon Dr,
Tucson, AZ 85718-1407
Ph: (520) 694-8888 |
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