Elham Khazaei, DPM in Staten Island, NY - Medicare Podiatrist Provider

Elham Khazaei, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Staten Island, New York. Her current practice location is 355 Bard Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 818-1234.

Elham Khazaei is licensed to practice in New York (license number R10755) 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 1740766633.

Contact Information

	Elham Khazaei, DPM
	355 Bard Ave, Staten Island, NY 10310-1664
	(718) 818-1234
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elham Khazaei
Gender	Female
Speciality	Podiatrist - Foot & Ankle Surgery
Location	355 Bard Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740766633
Provider Enumeration Date: 07/14/2018
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8224373220
Enrollment ID: I20230105000595

Medical Identifiers

Medical identifiers for Elham Khazaei such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740766633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	R10755 (New York)	Primary

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. Elham Khazaei allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Elham Khazaei 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
Elham Khazaei, DPM 355 Bard Ave, Staten Island, NY 10310-1664 Ph: () -	Elham Khazaei, DPM 355 Bard Ave, Staten Island, NY 10310-1664 Ph: (718) 818-1234

Reviews and Comments

Podiatrist in Staten Island, NY

Keith A Mobilia & Janet Carney Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2338 Richmond Rd, Staten Island, NY 10306 Phone: 718-979-1333 Fax: 718-351-3215
Annie Zeb, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 862-812-8767
Dr. Howard R. Fox, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2760 Amboy Rd, Staten Island, NY 10306 Phone: 718-987-5366 Fax: 718-989-4879
Stephanie Famulari, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1478 Victory Blvd, Staten Island, NY 10301 Phone: 718-737-8228
Dr. Allen Fung, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 827 Forest Ave, Staten Island, NY 10310 Phone: 347-977-4676
Dr. Tanya Powerman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 65 Rose Ave, Staten Island, NY 10306 Phone: 718-226-6344 Fax: 718-226-0408
Janet Carney Dpm,pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 432 Clawson St, Staten Island, NY 10306 Phone: 718-979-9444 Fax: 718-979-9422

Elham Khazaei, DPM - Medicare Podiatrist in Staten Island, NY