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. 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for 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 | May be. He may accept the Medicare-approved amount; you may be billed for 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 |
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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