Dr Mahdieh Fazel Jedlowski, MD is a medicare enrolled "Dermatology" provider in Tucson, Arizona. She went to University Of Arizona College Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Banner-university Medical Group and her current practice location is
7165 N Pima Canyon Dr, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 694-8888.
Dr Mahdieh Fazel Jedlowski is licensed to practice in Arizona (license number 72061) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679902449.
Healthcare Provider's Profile
| Full Name | Dr Mahdieh Fazel Jedlowski |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 5 Years |
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| Location | 7165 N Pima Canyon Dr, Tucson, Arizona |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Mahdieh Fazel Jedlowski attended and graduated from University Of Arizona College Of Medicine in 2020
NPI Data:
- NPI Number: 1679902449
- Provider Enumeration Date: 11/02/2013
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204226558
- Enrollment ID: I20240612001537
Medical Identifiers
Medical identifiers for Dr Mahdieh Fazel Jedlowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679902449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | S021618 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | R78135 (Arizona) | Secondary |
| 207N00000X | Dermatology | 72061 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Banner-university Medical Group | 7719899871 | 950 |
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 Mahdieh Fazel Jedlowski allows following entities to bill medicare on her behalf.
| Entity Name | Banner-university Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694 |
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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. Dr Mahdieh Fazel Jedlowski 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 Mahdieh Fazel Jedlowski, MD
5301 E Grant Rd,
Tucson, AZ 85712-2805
Ph: (520) 327-5461 | Dr Mahdieh Fazel Jedlowski, MD
7165 N Pima Canyon Dr,
Tucson, AZ 85718-1407
Ph: (520) 694-8888 |
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