Dr Mehrdod Shakouri Eleezeh, DO is a medicare enrolled "General Practice" physician in Casa Grande, Arizona. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2017 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cigna Healthcare Of Arizona Inc and his current practice location is
560 N Camino Mercado Ste 7, Casa Grande, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 836-5538.
Dr Mehrdod Shakouri Eleezeh is licensed to practice in Arizona (license number 009309) 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 1588190730.
Physician's Profile
| Full Name | Dr Mehrdod Shakouri Eleezeh |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 9 Years |
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| Location | 560 N Camino Mercado Ste 7, Casa Grande, Arizona |
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| Accepts Medicare Assignments | Yes. He 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 Mehrdod Shakouri Eleezeh attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2017
NPI Data:
- NPI Number: 1588190730
- Provider Enumeration Date: 05/10/2017
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557525490
- Enrollment ID: I20250623001161
Medical Identifiers
Medical identifiers for Dr Mehrdod Shakouri Eleezeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588190730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 009309 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cigna Healthcare Of Arizona Inc | 1456263573 | 80 |
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 Mehrdod Shakouri Eleezeh 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 Mehrdod Shakouri Eleezeh, DO
560 N Camino Mercado Ste 7,
Casa Grande, AZ 85122-5759
Ph: (520) 836-5538 | Dr Mehrdod Shakouri Eleezeh, DO
560 N Camino Mercado Ste 7,
Casa Grande, AZ 85122-5759
Ph: (520) 836-5538 |
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