Dr Namita P Mohideen, MD in Fontana, CA

Dr Namita P Mohideen, MD is a medicare enrolled "Pediatrics" physician in Fontana, California. Her current practice location is 16465 Sierra Lakes Pkwy Ste 115, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 823-8000.

Dr Namita P Mohideen is licensed to practice in California (license number A55769) 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 1871543850.

Contact Information

	Dr Namita P Mohideen, MD
	16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242
	(909) 823-8000
	(909) 823-8088

Map and Direction

Physician's Profile

Full Name	Dr Namita P Mohideen
Gender	Female
Speciality	Pediatrics
Location	16465 Sierra Lakes Pkwy Ste 115, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871543850
Provider Enumeration Date: 05/11/2006
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0840248845
Enrollment ID: I20050106000380

Medical Identifiers

Medical identifiers for Dr Namita P Mohideen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871543850	NPI	-	NPPES
00A557690	Medicaid	CA
1871543850	Medicaid	CA
1174760953	Medicaid	CA
ZZZ01339Z	Other	CA	BS/TRIWEST
ZZZ39356Z	Other	CA	BS/TRIWEST
1518136787	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A55769 (California)	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. Dr Namita P Mohideen allows following entities to bill medicare on her behalf.

Entity Name	Namita Mohideen Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649546144 PECOS PAC ID: 1759785934 Enrollment ID: O20210810002801

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 Namita P Mohideen 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 Namita P Mohideen, MD 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242 Ph: (909) 823-8000	Dr Namita P Mohideen, MD 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242 Ph: (909) 823-8000

Reviews and Comments

Pediatrics Doctors in Fontana, CA

Mr. James David Killeen Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana - Pediatrics, Fontana, CA 92335 Phone: 909-427-6960
Ramandeep Kaur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088
Leslie Sison Aquino-peralta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Connie Lew Cheng, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Miss Irene H Odom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5451
Mrs. Emma Claire Boda, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088
Eric Mun-kong Wong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Dr Namita P Mohideen, MD - Medicare Pediatrics in Fontana, CA