Shahriar Bozorgzadeh, MD in Carbondale, IL

Shahriar Bozorgzadeh, MD is a medicare enrolled "Family Medicine" physician in Carbondale, Illinois. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Super Track Urgent Care Llc and his current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 549-0721.

Shahriar Bozorgzadeh is licensed to practice in Illinois (license number 36096984) 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 1194726851.

Contact Information

	Shahriar Bozorgzadeh, MD
	405 W Jackson St, Carbondale, IL 62901-1462
	(618) 549-0721
	(618) 457-0469

Map and Direction

Physician's Profile

Full Name	Shahriar Bozorgzadeh
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	405 W Jackson St, Carbondale, Illinois
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:

Shahriar Bozorgzadeh graduated from medical school in 1995

NPI Data:

NPI Number: 1194726851
Provider Enumeration Date: 08/03/2005
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1951399963
Enrollment ID: I20101028000953

Medical Identifiers

Medical identifiers for Shahriar Bozorgzadeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194726851	NPI	-	NPPES
3932056	Other	IL	BLUE SHIELD
0360096984	Medicaid	IL
036096984	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036-096984 (Illinois)	Secondary
207Q00000X	Family Medicine	36096984 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Super Track Urgent Care Llc	7618243296	5

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. Shahriar Bozorgzadeh allows following entities to bill medicare on his behalf.

Entity Name	Super Track Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598289027 PECOS PAC ID: 7618243296 Enrollment ID: O20171026000987

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. Shahriar Bozorgzadeh 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
Shahriar Bozorgzadeh, MD Po Box 1467, Indianapolis, IN 46206-1467 Ph: (618) 457-5200	Shahriar Bozorgzadeh, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721

Reviews and Comments

Family Medicine Doctors in Carbondale, IL

Dr. Kowsika Movva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 W Jackson St Ste 102, Carbondale, IL 62901 Phone: 618-457-0456 Fax: 618-457-2222
Ashmeet Singh Sahni, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621
Thomas Murphy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621
Sandhya Rani Grandhi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-457-4542
Brian Jay Reach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 217-545-8000
Jordyn Audrey Drake, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621
Scott K Schonewolf, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 200, Carbondale, IL 62901 Phone: 618-453-3777 Fax: 618-453-1102

Shahriar Bozorgzadeh, MD - Medicare Family Practice in Carbondale, IL