Mohammad R Jazayeri, MD in Green Bay, WI - Medicare Cardiac Electrophysiology

Mohammad R Jazayeri, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Green Bay, Wisconsin. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Bellin Memorial Hospital Inc, Froedtert Manitowoc Medical Group, Llc, Oconto Hospital And Medical Center Inc, Bellin Memorial Hospital Inc and his current practice location is 744 S Webster Ave, 2nd Floor, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-3640.

Mohammad R Jazayeri is licensed to practice in Wisconsin (license number 27239-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336238161.

Contact Information

	Mohammad R Jazayeri, MD
	744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505
	(920) 433-3640
	(920) 433-3716

Map and Direction

Physician's Profile

Full Name	Mohammad R Jazayeri
Gender	Male
Speciality	Cardiac Electrophysiology
Experience	14 Years
Location	744 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mohammad R Jazayeri graduated from medical school in 2010

NPI Data:

NPI Number: 1336238161
Provider Enumeration Date: 10/12/2006
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8022026400
Enrollment ID: I20060327000447

Medical Identifiers

Medical identifiers for Mohammad R Jazayeri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336238161	NPI	-	NPPES
30770600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	27239 (Wisconsin)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	27239-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bellin Memorial Hospital	Green bay, WI	Hospital
Door County Medical Center	Sturgeon bay, WI	Hospital
Bellin Health Oconto Hospital	Oconto, WI	Hospital
Dickinson County Memorial Hospital	Iron mountain, MI	Hospital
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bellin Memorial Hospital Inc	8820900749	513
Froedtert Manitowoc Medical Group, Llc	2365836954	114
Oconto Hospital And Medical Center Inc	2163461781	201
Bellin Memorial Hospital Inc	8820900749	513

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. Mohammad R Jazayeri allows following entities to bill medicare on his behalf.

Entity Name	Bellin Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089

Entity Name	Oconto Hospital & Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836

Entity Name	Froedtert Manitowoc Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282

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 R Jazayeri 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 R Jazayeri, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222	Mohammad R Jazayeri, MD 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 Ph: (920) 433-3640

Reviews and Comments

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Mohammad R Jazayeri, MD - Medicare Cardiac Electrophysiology in Green Bay, WI