Gissou Azabdaftari, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in East Amherst, New York. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Stony Brook Pathologists, University Faculty Practice Corporation and her current practice location is
8 Sable Ct W, East Amherst, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 845-2300.
Gissou Azabdaftari is licensed to practice in New York (license number 256980) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952348575.
Physician's Profile
Full Name | Gissou Azabdaftari |
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Gender | Female |
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Speciality | Pathology |
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Experience | 30 Years |
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Location | 8 Sable Ct W, East Amherst, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Gissou Azabdaftari graduated from medical school in 1994
NPI Data:
- NPI Number: 1952348575
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 11/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 5496857476
- Enrollment ID: I20100820001026
Medical Identifiers
Medical identifiers for Gissou Azabdaftari such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952348575 | NPI | - | NPPES |
03225023 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 256980 (New York) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 256980 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Stony Brook Pathologists, University Faculty Practice Corporation | 2163502162 | 23 |
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. Gissou Azabdaftari allows following entities to bill medicare on her behalf.
Entity Name | Stony Brook Pathologists, University Faculty Practice Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912944794 PECOS PAC ID: 2163502162 Enrollment ID: O20080103000301 |
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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. Gissou Azabdaftari 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 |
Gissou Azabdaftari, MD Elm And Carlton Streets, Buffalo, NY 14263-0001 Ph: (716) 845-2300 | Gissou Azabdaftari, MD 8 Sable Ct W, East Amherst, NY 14051-2210 Ph: (716) 845-2300 |
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