Dr Azad Mansouri, MD - Medicare Ophthalmology in Jonesboro, GA

Dr Azad Mansouri, MD is a medicare enrolled "Ophthalmology" physician in Jonesboro, Georgia. He went to Washington University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (410) 337-4500.

Dr Azad Mansouri is licensed to practice in Georgia (license number 076153) 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 1477744068.

Contact Information

Dr Azad Mansouri, MD
2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center,
Jonesboro, GA 30236-2500
(410) 337-4500
(410) 339-7326



Physician's Profile

Full NameDr Azad Mansouri
GenderMale
SpecialityOphthalmology
Experience18 Years
Location2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Azad Mansouri attended and graduated from Washington University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1477744068
  • Provider Enumeration Date: 08/07/2007
  • Last Update Date: 01/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284765124
  • Enrollment ID: I20161004001483

Medical Identifiers

Medical identifiers for Dr Azad Mansouri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477744068NPI-NPPES
1477744068MedicaidVA
033505300MedicaidMD
078242200MedicaidDC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 0101247198 (Virginia)Secondary
207W00000XOphthalmology D70402 (Maryland)Secondary
207W00000XOphthalmology 2006017512 (Missouri)Secondary
207W00000XOphthalmology 076153 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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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 Azad Mansouri allows following entities to bill medicare on his behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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 Azad Mansouri 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
Dr Azad Mansouri, MD
3495 Piedmont Rd Ne, Nine Piedmont Center,
Atlanta, GA 30305-1717

Ph: (404) 504-5678
Dr Azad Mansouri, MD
2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center,
Jonesboro, GA 30236-2500

Ph: (410) 337-4500

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Ophthalmology Doctors in Jonesboro, GA

Dr. Emily King Deschler, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Mount Zion Pkwy, Kruiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 614-293-8116    Fax: 614-293-3555
Mr. Anjum Sharif Cheema, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 650-723-4000    
Dr. Prathima Thumma Warrier, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 215-762-3937    

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