Tara Piryaei, is a medicare enrolled "General Practice" physician in Oak Lawn, Illinois. Her current practice location is
9555 S 52nd Ave, Oak Lawn, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 422-5700.
Tara Piryaei is licensed to practice in Illinois (license number 036.166682) 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 1154908812.
Physician's Profile
| Full Name | Tara Piryaei |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 9555 S 52nd Ave, Oak Lawn, Illinois |
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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: 1154908812
- Provider Enumeration Date: 03/26/2021
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597113795
- Enrollment ID: I20231129000535
Medical Identifiers
Medical identifiers for Tara Piryaei such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154908812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 036.166682 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Tara Piryaei allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451 |
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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. Tara Piryaei 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 |
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Tara Piryaei,
9555 S 52nd Ave,
Oak Lawn, IL 60453-3054
Ph: () - | Tara Piryaei,
9555 S 52nd Ave,
Oak Lawn, IL 60453-3054
Ph: (708) 422-5700 |
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