| Dr Kourosh Nazari, MD | |
|
801 N Stone St, Deland, FL 32720-3255 | |
| (386) 734-4431 | |
| (386) 738-1045 |
| Full Name | Dr Kourosh Nazari |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 28 Years |
| Location | 801 N Stone St, Deland, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881685741 | NPI | - | NPPES |
| 265118100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME80448 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkeley Medical Center | Martinsburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| James W Mattern Od, Pllc | 6800262833 | 6 |
| Martinsburg Eye Associates Pllc | 8325117575 | 3 |
| Entity Name | James W Mattern Od, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376288597 PECOS PAC ID: 6800262833 Enrollment ID: O20221017002317 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kourosh Nazari, MD 801 N Stone St, Deland, FL 32720-3255 Ph: (386) 734-4431 | Dr Kourosh Nazari, MD 801 N Stone St, Deland, FL 32720-3255 Ph: (386) 734-4431 |
Kevin M Barber, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1592 South State Road 15-a, Deland, FL 32720 Phone: 386-734-2931 Fax: 386-734-2939 | |
Thomas M. Kropp, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 305 E New York Ave, Deland, FL 32724 Phone: 386-734-2931 Fax: 386-734-2939 | |
Khaled Moumneh, DO, MSC Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1592 S Sr 15a, Deland, FL 32720 Phone: 386-734-2931 Fax: 386-734-2939 | |
Robert Cordero, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1592 South State Road 15-a, Deland, FL 32720 Phone: 386-734-2931 Fax: 386-734-2939 | |
Ryan Scruggs, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1592 South State Road 15-a, Deland, FL 32720 Phone: 386-734-2931 |