Fawad Zadran, OD is a medicare enrolled "Optometrist" provider in San Andreas, California. He went to Southern California College Of Optometry and graduated in 2021 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice M A C T Health Board Incorporated and his current practice location is
1113 Highway 49, San Andreas, California. You can reach out to his office (for appointments etc.) via phone at
(209) 755-1480.
Fawad Zadran is licensed to practice in California (license number 34832) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1891360111.
Healthcare Provider's Profile
| Full Name | Fawad Zadran |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 4 Years |
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| Location | 1113 Highway 49, San Andreas, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Fawad Zadran attended and graduated from Southern California College Of Optometry in 2021
NPI Data:
- NPI Number: 1891360111
- Provider Enumeration Date: 05/20/2021
- Last Update Date: 11/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678979622
- Enrollment ID: I20210831001535
Medical Identifiers
Medical identifiers for Fawad Zadran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891360111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 34832 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| M A C T Health Board Incorporated | 8325936974 | 18 |
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. Fawad Zadran allows following entities to bill medicare on his behalf.
| Provider Name | M A C T Health Board Incorporated |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366519431
PECOS PAC ID: 8325936974
Enrollment ID: O20241011001898 |
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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. Fawad Zadran 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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Fawad Zadran, OD
1089 Crestline Cir,
El Dorado Hills, CA 95762-7224
Ph: (916) 850-9829 | Fawad Zadran, OD
1113 Highway 49,
San Andreas, CA 95249
Ph: (209) 755-1480 |
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