Nour Moataz Elgezawi, ACSW is a medicare enrolled "Social Worker - Clinical" provider in El Cajon, California. Her current practice location is
875 El Cajon Blvd, El Cajon, California. You can reach out to her office (for appointments etc.) via phone at
(619) 662-4100.
Nour Moataz Elgezawi is licensed to practice in California (license number 109173) 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 1255067880.
Healthcare Provider's Profile
Full Name | Nour Moataz Elgezawi |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 875 El Cajon Blvd, El Cajon, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255067880
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 04/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406372457
- Enrollment ID: I20250506000372
Medical Identifiers
Medical identifiers for Nour Moataz Elgezawi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255067880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 109173 (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 109173 (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. Nour Moataz Elgezawi allows following entities to bill medicare on her behalf.
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
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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. Nour Moataz Elgezawi 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 |
Nour Moataz Elgezawi, ACSW 1601 Precision Park Ln, San Diego, CA 92173-1345 Ph: (619) 662-4100 | Nour Moataz Elgezawi, ACSW 875 El Cajon Blvd, El Cajon, CA 92020-5714 Ph: (619) 662-4100 |
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