Azadeh Rezvan, MD - Medicare Obstetrics & Gynecology in Clackamas, OR

Azadeh Rezvan, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Clackamas, Oregon. Her current practice location is 10100 Se Sunnyside Rd, Mt Talert Medical Office, Division Of Urogynecology, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 652-2880.

Azadeh Rezvan is licensed to practice in Oregon (license number MD171989) 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 1508022781.

Contact Information

Azadeh Rezvan, MD
10100 Se Sunnyside Rd, Mt Talert Medical Office, Division Of Urogynecology,
Clackamas, OR 97015-8970
(503) 652-2880
Not Available



Physician's Profile

Full NameAzadeh Rezvan
GenderFemale
SpecialityObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery
Location10100 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508022781
  • Provider Enumeration Date: 08/06/2008
  • Last Update Date: 08/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2163670118
  • Enrollment ID: I20151013000791

Medical Identifiers

Medical identifiers for Azadeh Rezvan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508022781NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VF0040XObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery MD171989 (Oregon)Primary
390200000XStudent 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. Azadeh Rezvan allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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. Azadeh Rezvan 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 AddressPractice Location Address
Azadeh Rezvan, MD
10100 Se Sunnyside Rd. Mt Talbert Medical Office,, Department Of Ob/gyn, Division Of Urogynecology,
Clackamas, OR 97015

Ph: (503) 652-2880
Azadeh Rezvan, MD
10100 Se Sunnyside Rd, Mt Talert Medical Office, Division Of Urogynecology,
Clackamas, OR 97015-8970

Ph: (503) 652-2880

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Obstetrics & Gynecology Doctors in Clackamas, OR

Jill M Zurawski, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 10180 Se Sunnyside Rd, Labor And Delivery, Clackamas, OR 97015
Phone: 503-652-2880    
Heather Bufford Crummett, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 10100 Se Sunnyside Rd, Mount Talbert Medical Office, Clackamas, OR 97015
Phone: 503-571-8163    
Dr. Robert Wesley House, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 10100 Se Sunnyside Rd., Clackamas, OR 97015
Phone: 503-786-8435    Fax: 503-571-8527
Ms. Rachel Algenio, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-4210    
Dr. Paula Dawn Blacketor, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-2880    
Kathy L Stewart, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-8113    
Dr. Kimberly Kristine Vesco, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 10100 Se Sunnyside Raod, Kaiser Permanente Mt Talbert Medical Office, Clackamas, OR 97015
Phone: 503-571-3733    

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