Manila Bagherzadeh-azar, MD in Philadelphia, PA

Manila Bagherzadeh-azar, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Philadelphia, Pennsylvania. Her current practice location is 3400 Spruce St, Radiology Administration, 1 Silverstein Ste 130, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 688-3643.

Manila Bagherzadeh-azar is licensed to practice in Pennsylvania (license number MD436864) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679664544.

Contact Information

	Manila Bagherzadeh-azar, MD
	3400 Spruce St, Radiology Administration, 1 Silverstein Ste 130, Philadelphia, PA 19104-4206
	(610) 688-3643
	Not Available

Map and Direction

Physician's Profile

Full Name	Manila Bagherzadeh-azar
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679664544
Provider Enumeration Date: 09/27/2006
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0648226704
Enrollment ID: I20090713000240

Medical Identifiers

Medical identifiers for Manila Bagherzadeh-azar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679664544	NPI	-	NPPES
P00210259	Other	AR	RAILROAD MEDICARE
156606001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD436864 (Pennsylvania)	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. Manila Bagherzadeh-azar allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Manila Bagherzadeh-azar 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
Manila Bagherzadeh-azar, MD 3400 Spruce St, Radiology Administration, 1 Silverstein Ste 130, Philadelphia, PA 19104-4206 Ph: (610) 688-3643	Manila Bagherzadeh-azar, MD 3400 Spruce St, Radiology Administration, 1 Silverstein Ste 130, Philadelphia, PA 19104-4206 Ph: (610) 688-3643

Reviews and Comments

Radiology Doctors in Philadelphia, PA

Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627

Manila Bagherzadeh-azar, MD - Medicare Radiology in Philadelphia, PA