Shahriyar A Leilabadi, MD in Bothell, WA - Medicare Family Medicine

Shahriyar A Leilabadi, MD is a medicare enrolled "Family Medicine" physician in Bothell, Washington. His current practice location is 9924 Ne 185th St, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 595-3830.

Shahriyar A Leilabadi is licensed to practice in Washington (license number MD60556970) 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 1710062245.

Contact Information

	Shahriyar A Leilabadi, MD
	9924 Ne 185th St, Bothell, WA 98011-3502
	(425) 595-3830
	(425) 595-3831

Map and Direction

Physician's Profile

Full Name	Shahriyar A Leilabadi
Gender	Male
Speciality	Family Medicine
Location	9924 Ne 185th St, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710062245
Provider Enumeration Date: 10/25/2006
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 1153427976
Enrollment ID: I20171110001109

Medical Identifiers

Medical identifiers for Shahriyar A Leilabadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710062245	NPI	-	NPPES
061129000052	Other	NY	FIDELIS CARE #
2087778	Medicaid	WA
000528841001	Other	NY	HEALTH NOW BCBS #
070320000059	Other	NY	FIDELIS CARE URGENT CARE#
00027738401	Other	NY	UNIVERA #
0145379	Other	NY	GHI PPO #
194882BF	Other	NY	PREFERRED CARE #
0114050	Other	NY	IHA #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	242080 (New York)	Secondary
207Q00000X	Family Medicine	MD60556970 (Washington)	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. Shahriyar A Leilabadi allows following entities to bill medicare on his behalf.

Entity Name	The Polyclinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

Entity Name	Molina Healthcare Of Washington Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912235060 PECOS PAC ID: 1850427527 Enrollment ID: O20100405000336

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. Shahriyar A Leilabadi 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
Shahriyar A Leilabadi, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 304-8431	Shahriyar A Leilabadi, MD 9924 Ne 185th St, Bothell, WA 98011-3502 Ph: (425) 595-3830

Reviews and Comments

Family Medicine Doctors in Bothell, WA

Regina E Terranova, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11913 Ne 195th St, Bothell, WA 98011 Phone: 425-489-3100
Gary I Limarzi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10025 Ne 186th St, Bothell, WA 98011 Phone: 425-486-9131
Bernadeth Tagle Gonzales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 300, Bothell, WA 98021 Phone: 425-412-7200
Dr. Nha Ke Ton, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1909 214th St Se Ste 300, Bothell, WA 98021 Phone: 425-412-7200
Kathleen Eiko Tubridy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10414 Beardslee Blvd Ste 100, Bothell, WA 98011 Phone: 425-486-0658 Fax: 425-487-6761
Suzanne E Yeary, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14048 Juanita Dr Ne, Bothell, WA 98011 Phone: 425-899-5300 Fax: 425-899-5304
Thomas A Wilson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10025 Ne 186th St, Bothell, WA 98011 Phone: 425-486-9131 Fax: 425-486-9490

Shahriyar A Leilabadi, MD - Medicare Family Medicine in Bothell, WA