Dr Azadeh Suppappola, OD in Brighton, MA - Medicare Optometrist Provider

Dr Azadeh Suppappola, OD is a medicare enrolled "Optometrist" provider in Brighton, Massachusetts. Her current practice location is 495 Western Ave, Brighton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 783-0500.

Dr Azadeh Suppappola is licensed to practice in New Hampshire (license number 0877) 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 1538500202.

Contact Information

	Dr Azadeh Suppappola, OD
	495 Western Ave, Brighton, MA 02135-1007
	(617) 783-0500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Azadeh Suppappola
Gender	Female
Speciality	Optometrist
Location	495 Western Ave, Brighton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538500202
Provider Enumeration Date: 07/10/2013
Last Update Date: 02/17/2026

Medicare PECOS Information:

PECOS PAC ID: 1759525660
Enrollment ID: I20140603001631

Medical Identifiers

Medical identifiers for Dr Azadeh Suppappola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538500202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0877 (New Hampshire)	Primary
152W00000X	Optometrist	4975 (Massachusetts)	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. Dr Azadeh Suppappola allows following entities to bill medicare on her behalf.

Provider Name	Myeyedr Optometry Of Massachusetts P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124534946 PECOS PAC ID: 1951661297 Enrollment ID: O20180207001047

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. Dr Azadeh Suppappola 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
Dr Azadeh Suppappola, OD 495 Western Ave, Brighton, MA 02135-1007 Ph: (617) 783-0500	Dr Azadeh Suppappola, OD 495 Western Ave, Brighton, MA 02135-1007 Ph: (617) 783-0500

Reviews and Comments

Optometrist in Brighton, MA

Mrs. Janice Sirima Paknejad, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 372 Washington St, Brighton, MA 02135 Phone: 617-782-6650 Fax: 617-782-2660
Dr. David M. Soll, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8 Wiltshire Rd, Brighton, MA 02135 Phone: 617-620-4565 Fax: 888-838-8947
Julia Chang, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9 Henshaw St, Brighton, MA 02135 Phone: 617-903-3538 Fax: 617-903-3547
David M. Soll, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8 Wiltshire Rd, Brighton, MA 02135 Phone: 617-620-4565 Fax: 888-838-8947
Dr. Henry Cohen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 51 Washington St, Brighton, MA 02135 Phone: 617-566-7407
Kristen Banek Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 372 Washington St, Brighton, MA 02135 Phone: 617-782-6650

Dr Azadeh Suppappola, OD - Medicare Optometrist in Brighton, MA