Dr Mahdieh Fazel Jedlowski, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Tucson, Arizona. Her current practice location is
5301 E Grant Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 327-5461.
Dr Mahdieh Fazel Jedlowski is licensed to practice in Arizona (license number R78135) 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 |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 5301 E Grant Rd, Tucson, Arizona |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679902449
- Provider Enumeration Date: 11/02/2013
- Last Update Date: 06/03/2020
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) | 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 5301 E Grant Rd, Tucson, AZ 85712-2874 Ph: (520) 327-5461 |
Reviews and Comments