Dr Farrokh Dehdashti, MD is a medicare enrolled "Nuclear Medicine" physician in Saint Louis, Missouri. She graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Nuclear Medicine. She is a member of the group practice Miracl Llc, Washington University and her current practice location is
510 S Kingshighway Blvd, Dept Radiology, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 362-7200.
Dr Farrokh Dehdashti is licensed to practice in Missouri (license number R9H91) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063506392.
Physician's Profile
| Full Name | Dr Farrokh Dehdashti |
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| Gender | Female |
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| Speciality | Nuclear Medicine |
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| Experience | 47 Years |
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| Location | 510 S Kingshighway Blvd, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Farrokh Dehdashti graduated from medical school in 1977
NPI Data:
- NPI Number: 1063506392
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254471147
- Enrollment ID: I20091229000027
Medical Identifiers
Medical identifiers for Dr Farrokh Dehdashti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063506392 | NPI | - | NPPES |
| 209724707 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | R9H91 (Missouri) | Secondary |
| 207U00000X | Nuclear Medicine | R9H91 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Miracl Llc | 4587908041 | 61 |
| Washington University | 9830008770 | 2506 |
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 Farrokh Dehdashti allows following entities to bill medicare on her behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962442475
PECOS PAC ID: 9830008770
Enrollment ID: O20031204000987 |
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| Entity Name | Miracl Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205304300
PECOS PAC ID: 4587908041
Enrollment ID: O20181210003487 |
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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 Farrokh Dehdashti 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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Dr Farrokh Dehdashti, MD
Po Box 60352,
Saint Louis, MO 63160-0352
Ph: (314) 362-7200 | Dr Farrokh Dehdashti, MD
510 S Kingshighway Blvd, Dept Radiology,
Saint Louis, MO 63110-1016
Ph: (314) 362-7200 |
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