Azadeh Rezvan, MD in Clackamas, OR - Medicare Obstetrics & Gynecology

Azadeh Rezvan, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Clackamas, Oregon. Her current practice location is 10100 Se Sunnyside Rd, Mt Talert Medical Office, Division Of Urogynecology, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 652-2880.

Azadeh Rezvan is licensed to practice in Oregon (license number MD171989) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508022781.

Contact Information

	Azadeh Rezvan, MD
	10100 Se Sunnyside Rd, Mt Talert Medical Office, Division Of Urogynecology, Clackamas, OR 97015-8970
	(503) 652-2880
	Not Available

Map and Direction

Physician's Profile

Full Name	Azadeh Rezvan
Gender	Female
Speciality	Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery
Location	10100 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508022781
Provider Enumeration Date: 08/06/2008
Last Update Date: 08/25/2015

Medicare PECOS Information:

PECOS PAC ID: 2163670118
Enrollment ID: I20151013000791

Medical Identifiers

Medical identifiers for Azadeh Rezvan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508022781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VF0040X	Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery	MD171989 (Oregon)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Azadeh Rezvan allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Azadeh Rezvan 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
Azadeh Rezvan, MD 10100 Se Sunnyside Rd. Mt Talbert Medical Office,, Department Of Ob/gyn, Division Of Urogynecology, Clackamas, OR 97015 Ph: (503) 652-2880	Azadeh Rezvan, MD 10100 Se Sunnyside Rd, Mt Talert Medical Office, Division Of Urogynecology, Clackamas, OR 97015-8970 Ph: (503) 652-2880

Reviews and Comments

Obstetrics & Gynecology Doctors in Clackamas, OR

Jill M Zurawski, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Labor And Delivery, Clackamas, OR 97015 Phone: 503-652-2880
Heather Bufford Crummett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Mount Talbert Medical Office, Clackamas, OR 97015 Phone: 503-571-8163
Dr. Robert Wesley House, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd., Clackamas, OR 97015 Phone: 503-786-8435 Fax: 503-571-8527
Ms. Rachel Algenio, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4210
Dr. Paula Dawn Blacketor, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-2880
Kathy L Stewart, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-8113
Dr. Kimberly Kristine Vesco, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Raod, Kaiser Permanente Mt Talbert Medical Office, Clackamas, OR 97015 Phone: 503-571-3733

Azadeh Rezvan, MD - Medicare Obstetrics & Gynecology in Clackamas, OR