Dr Azad Mansouri, MD in Jonesboro, GA - Medicare Ophthalmology

Dr Azad Mansouri, MD is a medicare enrolled "Ophthalmology" physician in Jonesboro, Georgia. He went to Washington University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (410) 337-4500.

Dr Azad Mansouri is licensed to practice in Georgia (license number 076153) 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 1477744068.

Contact Information

	Dr Azad Mansouri, MD
	2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500
	(410) 337-4500
	(410) 339-7326

Map and Direction

Physician's Profile

Full Name	Dr Azad Mansouri
Gender	Male
Speciality	Ophthalmology
Experience	18 Years
Location	2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Azad Mansouri attended and graduated from Washington University School Of Medicine in 2006

NPI Data:

NPI Number: 1477744068
Provider Enumeration Date: 08/07/2007
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 4284765124
Enrollment ID: I20161004001483

Medical Identifiers

Medical identifiers for Dr Azad Mansouri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477744068	NPI	-	NPPES
1477744068	Medicaid	VA
033505300	Medicaid	MD
078242200	Medicaid	DC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	0101247198 (Virginia)	Secondary
207W00000X	Ophthalmology	D70402 (Maryland)	Secondary
207W00000X	Ophthalmology	2006017512 (Missouri)	Secondary
207W00000X	Ophthalmology	076153 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	576

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 Azad Mansouri allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Azad Mansouri 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 Azad Mansouri, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Dr Azad Mansouri, MD 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500 Ph: (410) 337-4500

Reviews and Comments

Ophthalmology Doctors in Jonesboro, GA

Dr. Emily King Deschler, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kruiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 614-293-8116 Fax: 614-293-3555
Mr. Anjum Sharif Cheema, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 650-723-4000
Dr. Prathima Thumma Warrier, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 215-762-3937

Dr Azad Mansouri, MD - Medicare Ophthalmology in Jonesboro, GA