Mark M Tavakoli, MD - Medicare Anesthesiology in Birmingham, AL

Mark M Tavakoli, MD is a medicare enrolled "Anesthesiology" physician in Birmingham, Alabama. His current practice location is 2010 Brookwood Medical Ctr Dr, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 989-1080.

Mark M Tavakoli is licensed to practice in Alabama (license number 6173) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679570204.

Contact Information

Mark M Tavakoli, MD
2010 Brookwood Medical Ctr Dr,
Birmingham, AL 35209-6804
(205) 989-1080
(205) 989-1087



Physician's Profile

Full NameMark M Tavakoli
GenderMale
SpecialityAnesthesiology
Location2010 Brookwood Medical Ctr Dr, Birmingham, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679570204
  • Provider Enumeration Date: 06/28/2005
  • Last Update Date: 11/04/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8123913142
  • Enrollment ID: I20040218000869

Medical Identifiers

Medical identifiers for Mark M Tavakoli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679570204NPI-NPPES
051594516OtherALBCBS
101705MedicaidAL
101704MedicaidAL
P00653636OtherALRAILROAD MEDICARE
00003018MedicaidAL
051549063OtherALBCBS
101703MedicaidAL
C71588OtherALVIVA
051549062OtherALBCBS
051549064OtherALBCBS
09259043MedicaidMS
105513MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 6173 (Alabama)Primary

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. Mark M Tavakoli allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Alabama Health Services Foundation, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261

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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. Mark M Tavakoli 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
Mark M Tavakoli, MD
Po Box 55310,
Birmingham, AL 35255-5310

Ph: (205) 731-9701
Mark M Tavakoli, MD
2010 Brookwood Medical Ctr Dr,
Birmingham, AL 35209-6804

Ph: (205) 989-1080

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Anesthesiology Doctors in Birmingham, AL

Riaz Mohammed Karukappadath,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 619 19th St S, Birmingham, AL 35249
Phone: 205-934-4011    
Dr. Victor E. Mendoza, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5130 Cyrus Cir, Birmingham, AL 35242
Phone: 205-981-0414    
Joshua Edward Smith, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 619 19th Street South, Birmingham, AL 35233
Phone: 205-934-6600    
Stacy Wade,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1717 6th Ave S, Birmingham, AL 35233
Phone: 800-822-8816    
Bernis A Simmons, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 52 Medical Park Dr E, Suite 321, Birmingham, AL 35235
Phone: 205-838-3055    Fax: 205-838-3517
George R. Wells Iii, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1201 11th Ave S, Birmingham, AL 35205
Phone: 205-930-7246    
Teddy W. Sartin, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1600 Carraway Blvd, Birmingham, AL 35234
Phone: 205-502-6817    Fax: 205-502-5152

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