Mohammad Ali Bakhtavar, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Blythe, California. His current practice location is
205 North First Str, Suite D, Blythe, California. You can reach out to his office (for appointments etc.) via phone at
(760) 922-6667.
Mohammad Ali Bakhtavar is licensed to practice in California (license number C521640) 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 1942303367.
Physician's Profile
| Full Name | Mohammad Ali Bakhtavar |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 205 North First Str, Blythe, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942303367
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3274675913
- Enrollment ID: I20100119000644
Medical Identifiers
Medical identifiers for Mohammad Ali Bakhtavar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942303367 | NPI | - | NPPES |
| 00C521640 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | C521640 (California) | 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. Mohammad Ali Bakhtavar 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 |
|---|
Mohammad Ali Bakhtavar, MD
205 North First Str, Suite D,
Blythe, CA 92225
Ph: (760) 922-6667 | Mohammad Ali Bakhtavar, MD
205 North First Str, Suite D,
Blythe, CA 92225
Ph: (760) 922-6667 |
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