Dr Azadeh Namakydoust, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Farmington, Connecticut. Her current practice location is
263 Farmington Ave, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 679-2100.
Dr Azadeh Namakydoust is licensed to practice in * (Not Available) (license number ) 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 1932331212.
Physician's Profile
| Full Name | Dr Azadeh Namakydoust |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 263 Farmington Ave, Farmington, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932331212
- Provider Enumeration Date: 08/20/2009
- Last Update Date: 04/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961655899
- Enrollment ID: I20160923001586
Medical Identifiers
Medical identifiers for Dr Azadeh Namakydoust such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932331212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 284104 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Azadeh Namakydoust allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184637886 PECOS PAC ID: 0143229534 Enrollment ID: O20061213000044 |
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| Entity Name | Msk Monmouth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922459163 PECOS PAC ID: 1153619291 Enrollment ID: O20161005002347 |
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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. Dr Azadeh Namakydoust 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 |
Dr Azadeh Namakydoust, MD 480 Red Hill Rd, Middletown, NJ 07748-3052 Ph: (482) 256-1148 | Dr Azadeh Namakydoust, MD 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-2100 |
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