Kamran Javadi, PA-C, MPH is a medicare enrolled "Physician Assistant" in Grand Canyon, Arizona. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
1 Clinic Rd, Grand Canyon, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 638-2551.
Kamran Javadi is licensed to practice in Arizona (license number 9681) 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 1326635905.
Provider's Profile
| Full Name | Kamran Javadi |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 1 Clinic Rd, Grand Canyon, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kamran Javadi graduated from nursing school in 2020
NPI Data:
- NPI Number: 1326635905
- Provider Enumeration Date: 12/29/2020
- Last Update Date: 04/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 0840606471
- Enrollment ID: I20230719002181
Medical Identifiers
Medical identifiers for Kamran Javadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326635905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 9681 (Arizona) | Primary |
| 363A00000X | Physician Assistant | 91664 (Montana) | 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. Kamran Javadi allows following entities to bill medicare on his behalf.
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. Kamran Javadi 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 |
|---|
Kamran Javadi, PA-C, MPH
Po Box 1231,
Tucson, AZ 85702-1231
Ph: (520) 670-3909 | Kamran Javadi, PA-C, MPH
1 Clinic Rd,
Grand Canyon, AZ 86023-0290
Ph: (928) 638-2551 |
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