Mr Fazlollah Golestaneh, MD - Medicare Diagnostic Radiology in Haddonfield, NJ

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Mr Fazlollah Golestaneh, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Haddonfield, New Jersey. He graduated from medical school in 1966 and has 59 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Atlantic Medical Imaging, Regional Diagnostic Imaging Llc and his current practice location is 66 Tanner Street, Sam Radiology Services, Llc, Haddonfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 507-9512.

Mr Fazlollah Golestaneh is licensed to practice in New Jersey (license number 25MA03109900) 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 1780785311.

Contact Information

Mr Fazlollah Golestaneh, MD
66 Tanner Street, Sam Radiology Services, Llc,
Haddonfield, NJ 08033
(856) 507-9512
(856) 507-9516

Map and Direction




Physician's Profile

Full NameMr Fazlollah Golestaneh
GenderMale
SpecialityDiagnostic Radiology
Experience59 Years
Location66 Tanner Street, Haddonfield, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Fazlollah Golestaneh graduated from medical school in 1966
  NPI Data:
  • NPI Number: 1780785311
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 01/30/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2264416833
  • Enrollment ID: I20040614000712

Medical Identifiers

Medical identifiers for Mr Fazlollah Golestaneh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780785311NPI-NPPES
2323206MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 25MA03109900 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inspira Medical Center VinelandVineland, NJHospital
Inspira Medical Center ElmerElmer, NJHospital
Cooper University HospitalCamden, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atlantic Medical Imaging0345215141103
Regional Diagnostic Imaging Llc377959347025

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. Mr Fazlollah Golestaneh allows following entities to bill medicare on his behalf.
Entity NameAtlantic Medical Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396771556
PECOS PAC ID: 0345215141
Enrollment ID: O20040826000336
Entity NameRegional Diagnostic Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972575892
PECOS PAC ID: 3779593470
Enrollment ID: O20060426000029
Entity NameAmi Atlanticare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275762023
PECOS PAC ID: 7113073263
Enrollment ID: O20090915000606

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. Mr Fazlollah Golestaneh 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 AddressPractice Location Address
Mr Fazlollah Golestaneh, MD
Po Box 2300, Sam Radiology Services, Llc,
Vineland, NJ 08362-2300

Ph: (856) 507-9512		Mr Fazlollah Golestaneh, MD
66 Tanner Street, Sam Radiology Services, Llc,
Haddonfield, NJ 08033

Ph: (856) 507-9512

Reviews and Comments


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Phone: 952-595-1100    Fax: 612-294-4903

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.