Dr Nasrin Ghalyaie, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Phoenix, Arizona. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Greater Tampa Bay Physician Specialists Llc and her current practice location is
16601 N 40th St Ste 204, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 996-4747.
Dr Nasrin Ghalyaie is licensed to practice in Arizona (license number 49656) 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 1174820542.
Physician's Profile
| Full Name | Dr Nasrin Ghalyaie |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 23 Years |
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| Location | 16601 N 40th St Ste 204, Phoenix, Arizona |
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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 Nasrin Ghalyaie graduated from medical school in 2002
NPI Data:
- NPI Number: 1174820542
- Provider Enumeration Date: 02/22/2011
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840411252
- Enrollment ID: I20201230001605
Medical Identifiers
Medical identifiers for Dr Nasrin Ghalyaie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174820542 | NPI | - | NPPES |
| 939414 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 49656 (Arizona) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 49656 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Greater Tampa Bay Physician Specialists Llc | 2961637715 | 27 |
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 Nasrin Ghalyaie allows following entities to bill medicare on her behalf.
| Entity Name | Greater Tampa Bay Physician Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528492287
PECOS PAC ID: 2961637715
Enrollment ID: O20131101000759 |
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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 Nasrin Ghalyaie 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 Nasrin Ghalyaie, MD
2122 E Highland Ave Ste 100,
Phoenix, AZ 85016-4740
Ph: (480) 372-2111 | Dr Nasrin Ghalyaie, MD
16601 N 40th St Ste 204,
Phoenix, AZ 85032-3356
Ph: (602) 996-4747 |
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