Mr Nima Hazrati Pour Fard, MD is a medicare enrolled "Internal Medicine" physician in Montour Falls, New York. His current practice location is
220 Steuben St, Montour Falls, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 535-7121.
Mr Nima Hazrati Pour Fard is licensed to practice in New York (license number 324942) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225657349.
Physician's Profile
| Full Name | Mr Nima Hazrati Pour Fard |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 220 Steuben St, Montour Falls, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225657349
- Provider Enumeration Date: 04/09/2020
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153785530
- Enrollment ID: I20231120002258
Medical Identifiers
Medical identifiers for Mr Nima Hazrati Pour Fard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225657349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 324942 (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. Mr Nima Hazrati Pour Fard allows following entities to bill medicare on his behalf.
| Entity Name | Schuyler Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760582142
PECOS PAC ID: 3577548262
Enrollment ID: O20040618000324 |
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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. Mr Nima Hazrati Pour Fard 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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Mr Nima Hazrati Pour Fard, MD
220 Steuben St,
Montour Falls, NY 14865-9740
Ph: (607) 535-7121 | Mr Nima Hazrati Pour Fard, MD
220 Steuben St,
Montour Falls, NY 14865-9740
Ph: (607) 535-7121 |
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