Dr Souren Forouhi, MD in Palo Alto, CA - Medicare Family Medicine

Dr Souren Forouhi, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Palo Alto, California. His current practice location is 3801 Miranda Ave # 171, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (650) 493-5000.

Dr Souren Forouhi is licensed to practice in California (license number A157501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205289410.

Contact Information

	Dr Souren Forouhi, MD
	3801 Miranda Ave # 171, Palo Alto, CA 94304-1207
	(650) 493-5000
	(650) 849-0500

Map and Direction

Physician's Profile

Full Name	Dr Souren Forouhi
Gender	Male
Speciality	Family Medicine - Geriatric Medicine
Location	3801 Miranda Ave # 171, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205289410
Provider Enumeration Date: 07/22/2016
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2264786532
Enrollment ID: I20181127000292

Medical Identifiers

Medical identifiers for Dr Souren Forouhi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205289410	NPI	-	NPPES
A157501	Medicaid	CA
18956	Other	NV	NEVADA STATE BOARD OF MEDICAL EXAMINERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	18956 (Nevada)	Secondary
207Q00000X	Family Medicine	A157501 (California)	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	A157501 (California)	Primary

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 Souren Forouhi allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Riverside Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880

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 Souren Forouhi 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 Souren Forouhi, MD 901 Marshall St, Redwood City, CA 94063-2026 Ph: (650) 207-5987	Dr Souren Forouhi, MD 3801 Miranda Ave # 171, Palo Alto, CA 94304-1207 Ph: (650) 493-5000

Reviews and Comments

Family Medicine Doctors in Palo Alto, CA

Dr. Ian J Nelligan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Quarry Rd, Palo Alto, CA 94304 Phone: 650-498-5409
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Tami Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121
Dr. Diana Chen, MD, MBA Family Medicine Medicare: Medicare Enrolled Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121
Enrique Riddle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-3355
Jay Schlumpberger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121

Dr Souren Forouhi, MD - Medicare Family Medicine in Palo Alto, CA