Matin S Mazidi, MD in Fremont, CA - Medicare Obstetrics & Gynecology

Matin S Mazidi, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fremont, California. Her current practice location is 39400 Paseo Padre Pkwy, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 795-3000.

Matin S Mazidi is licensed to practice in California (license number A82804) 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 1083792568.

Contact Information

	Matin S Mazidi, MD
	39400 Paseo Padre Pkwy, Fremont, CA 94538-2310
	(510) 795-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Matin S Mazidi
Gender	Female
Speciality	Obstetrics & Gynecology
Location	39400 Paseo Padre Pkwy, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083792568
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 3274577366
Enrollment ID: I20070601000404

Medical Identifiers

Medical identifiers for Matin S Mazidi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083792568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A82804 (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. Matin S Mazidi allows following entities to bill medicare on her 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

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. Matin S Mazidi 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
Matin S Mazidi, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Matin S Mazidi, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 795-3000

Reviews and Comments

Obstetrics & Gynecology Doctors in Fremont, CA

Dr. Scott William Mack, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1860 Mowry Ave, Suite 400, Fremont, CA 94538 Phone: 510-796-7104 Fax: 510-794-9783
Dr. Jessica H Chun, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Kaiser Permanente, Fremont, CA 94538 Phone: 510-258-3411
Mei Ge, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-498-2196
Dr. Scott Kramer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2333 Mowry Ave, Suite 201, Fremont, CA 94538 Phone: 510-796-0510 Fax: 510-796-7760
Dr. Lawrence Matthew Tiglao, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2000 Mowry Ave, Fremont, CA 94538 Phone: 510-248-1000 Fax: 510-608-6055
Jayanti Jha, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000

Matin S Mazidi, MD - Medicare Obstetrics & Gynecology in Fremont, CA