Borna Mohabbatizadeh, MD in New York, NY

Borna Mohabbatizadeh, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in New York, New York. His current practice location is 1176 5th Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (122) 241-3300.

Borna Mohabbatizadeh is licensed to practice in New York (license number 317613) 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 1891228516.

Contact Information

	Borna Mohabbatizadeh, MD
	1176 5th Ave, New York, NY 10029-6503
	(122) 241-3300
	Not Available

Map and Direction

Physician's Profile

Full Name	Borna Mohabbatizadeh
Gender	Male
Speciality	Surgery - Surgical Oncology
Location	1176 5th Ave, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891228516
Provider Enumeration Date: 04/10/2017
Last Update Date: 06/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8729327614
Enrollment ID: I20230619001379

Medical Identifiers

Medical identifiers for Borna Mohabbatizadeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891228516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	317613 (New Mexico)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086X0206X	Surgery - Surgical Oncology	317613 (New York)	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. Borna Mohabbatizadeh allows following entities to bill medicare on his behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750649612 PECOS PAC ID: 2264691070 Enrollment ID: O20120917000180

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. Borna Mohabbatizadeh 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
Borna Mohabbatizadeh, MD 150 East 42nd Street 10th Fl, New York, NY 10087-8082 Ph: (212) 987-3100	Borna Mohabbatizadeh, MD 1176 5th Ave, New York, NY 10029-6503 Ph: (122) 241-3300

Reviews and Comments

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Borna Mohabbatizadeh, MD - Medicare Surgery in New York, NY