Sawsawn Hayatdavoudi, MD in San Jose, CA - Medicare Emergency Medicine

Sawsawn Hayatdavoudi, MD is a medicare enrolled "Emergency Medicine" physician in San Jose, California. He went to University Of California, Geffen School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 225 North Jackson Avenue, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 923-7121.

Sawsawn Hayatdavoudi is licensed to practice in California (license number A84223) 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 1265487649.

Contact Information

	Sawsawn Hayatdavoudi, MD
	225 North Jackson Avenue, San Jose, CA 95116
	(408) 923-7121
	Not Available

Map and Direction

Physician's Profile

Full Name	Sawsawn Hayatdavoudi
Gender	Male
Speciality	Emergency Medicine
Experience	22 Years
Location	225 North Jackson Avenue, San Jose, California
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:

Sawsawn Hayatdavoudi attended and graduated from University Of California, Geffen School Of Medicine in 2002

NPI Data:

NPI Number: 1265487649
Provider Enumeration Date: 05/23/2006
Last Update Date: 11/27/2007

Medicare PECOS Information:

PECOS PAC ID: 7810920576
Enrollment ID: I20050913001175

Medical Identifiers

Medical identifiers for Sawsawn Hayatdavoudi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265487649	NPI	-	NPPES
00A842230	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A84223 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2941

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. Sawsawn Hayatdavoudi allows following entities to bill medicare on his behalf.

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Sawsawn Hayatdavoudi 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
Sawsawn Hayatdavoudi, MD 2100 Powell Street, Ste 920, Emeryville, CA 94608-1803 Ph: (510) 350-2600	Sawsawn Hayatdavoudi, MD 225 North Jackson Avenue, San Jose, CA 95116 Ph: (408) 923-7121

Reviews and Comments

Emergency Medicine Doctors in San Jose, CA

Anna Nguyen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 Forest Ave, San Jose, CA 95128 Phone: 408-947-2500
Shalin Hira Patel, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-923-7121
Tony Hue-dan Yuan, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 North Jackson Avenue, San Jose, CA 94608 Phone: 510-350-2777
Rhys Vincent Dapar, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2425 Samaritan Drive, San Jose, CA 95124 Phone: 408-559-2011
Xiao Wang, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-362-4740
Thomas Gildea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 Forest Ave, San Jose, CA 95128 Phone: 408-947-2500
Jacob Benford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 North Jackson Avenue, San Jose, CA 95116 Phone: 408-923-7121

Sawsawn Hayatdavoudi, MD - Medicare Emergency Medicine in San Jose, CA