Gissou Azabdaftari, MD in East Amherst, NY

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.

Contact Information

	Gissou Azabdaftari, MD
	8 Sable Ct W, East Amherst, NY 14051-2210
	(716) 845-2300
	(716) 845-3427

Map and Direction

Physician's Profile

Full Name	Gissou Azabdaftari
Gender	Female
Speciality	Pathology
Experience	30 Years
Location	8 Sable Ct W, East Amherst, New York
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

Facility Name	Location	Facility Type
Suny/stony Brook University Hospital	Stony brook, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stony Brook Pathologists, University Faculty Practice Corporation	2163502162	24

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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912944794 PECOS PAC ID: 2163502162 Enrollment ID: O20080103000301

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

Gissou Azabdaftari, MD - Medicare Pathology in East Amherst, NY