Dr Mohammad Fazel, MD, PHARMD is a medicare enrolled "Dermatology" provider in Tucson, Arizona. He went to University Of Arizona College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Banner -- University Medical Group and his current practice location is
1501 N Campbell Ave Rm 6336, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 626-2761.
Dr Mohammad Fazel is licensed to practice in Arizona (license number R76653) 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 1437447745.
Healthcare Provider's Profile
| Full Name | Dr Mohammad Fazel |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 6 Years |
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| Location | 1501 N Campbell Ave Rm 6336, Tucson, Arizona |
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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:
- Dr Mohammad Fazel attended and graduated from University Of Arizona College Of Medicine in 2018
NPI Data:
- NPI Number: 1437447745
- Provider Enumeration Date: 07/20/2011
- Last Update Date: 08/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 5496005423
- Enrollment ID: I20220602001266
Medical Identifiers
Medical identifiers for Dr Mohammad Fazel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437447745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | S019814 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | R76653 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | I009315 (Arizona) | Secondary |
| 207N00000X | Dermatology | R76653 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Banner -- University Medical Group | 7719899871 | 817 |
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. Dr Mohammad Fazel allows following entities to bill medicare on his behalf.
| Entity Name | Banner -- University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694 |
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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. Dr Mohammad Fazel 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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Dr Mohammad Fazel, MD, PHARMD
7165 N Pima Canyon Dr,
Tucson, AZ 85718-1407
Ph: (520) 694-3376 | Dr Mohammad Fazel, MD, PHARMD
1501 N Campbell Ave Rm 6336,
Tucson, AZ 85724-5040
Ph: (520) 626-2761 |
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