Idel I Moisa, MD is a medicare enrolled "Otolaryngology" physician in Glen Cove, New York. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1983 and has 41 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Optum Medical Care Pc and his current practice location is
3 School St, Ste 304, Glen Cove, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 671-0085.
Idel I Moisa is licensed to practice in New York (license number 161323-1) 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 1568463909.
Physician's Profile
| Full Name | Idel I Moisa |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 41 Years |
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| Location | 3 School St, Glen Cove, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Idel I Moisa attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1983
NPI Data:
- NPI Number: 1568463909
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 03/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 7911084900
- Enrollment ID: I20080401000513
Medical Identifiers
Medical identifiers for Idel I Moisa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568463909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 161323-1 (New York) | Primary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 161323-1 (New York) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 161323-1 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Optum Medical Care Pc | 9931013240 | 997 |
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. Idel I Moisa allows following entities to bill medicare on his behalf.
| Entity Name | Optum Medical Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321 |
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| Entity Name | Prohealth Care Associates Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468 |
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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. Idel I Moisa 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 |
|---|
Idel I Moisa, MD
3 School St, Ste 304,
Glen Cove, NY 11542-2548
Ph: (516) 671-0085 | Idel I Moisa, MD
3 School St, Ste 304,
Glen Cove, NY 11542-2548
Ph: (516) 671-0085 |
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