Ahmed Moid Siddiqui, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Brooklyn, New York. His current practice location is
240 Willoughby St, Maynard Building - Suite 19c, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 250-6120.
Ahmed Moid Siddiqui is licensed to practice in * (Not Available) (license number ) 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 1902254576.
Physician's Profile
| Full Name | Ahmed Moid Siddiqui |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 240 Willoughby St, Brooklyn, New York |
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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: 1902254576
- Provider Enumeration Date: 05/24/2016
- Last Update Date: 05/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739426297
- Enrollment ID: I20230426001175
Medical Identifiers
Medical identifiers for Ahmed Moid Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902254576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | BP10070894 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ahmed Moid Siddiqui allows following entities to bill medicare on his behalf.
| Entity Name | Icahn School Of Medicine At Mount Sinai |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
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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. Ahmed Moid Siddiqui 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 |
Ahmed Moid Siddiqui, MD 240 Willoughby St, Maynard Building - Suite 19c, Brooklyn, NY 11201-5465 Ph: (718) 250-6120 | Ahmed Moid Siddiqui, MD 240 Willoughby St, Maynard Building - Suite 19c, Brooklyn, NY 11201-5465 Ph: (718) 250-6120 |
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