Dr Ali Sanei Moghaddam, MD, ABFM, CCFP, MRCS in Blaine, WA

Dr Ali Sanei Moghaddam, MD, ABFM, CCFP, MRCS is a medicare enrolled "Family Medicine" physician in Blaine, Washington. His current practice location is 5416 Snow Goose Ln Unit 405, Blaine, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 515-9022.

Dr Ali Sanei Moghaddam is licensed to practice in Washington (license number MD61075057) 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 1114502564.

Contact Information

	Dr Ali Sanei Moghaddam, MD, ABFM, CCFP, MRCS
	5416 Snow Goose Ln Unit 405, Blaine, WA 98230-6316
	(425) 515-9022
	(604) 200-5047

Map and Direction

Physician's Profile

Full Name	Dr Ali Sanei Moghaddam
Gender	Male
Speciality	Family Medicine
Location	5416 Snow Goose Ln Unit 405, Blaine, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114502564
Provider Enumeration Date: 03/16/2021
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1052840774
Enrollment ID: I20250124002922

Medical Identifiers

Medical identifiers for Dr Ali Sanei Moghaddam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114502564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61075057 (Washington)	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 Ali Sanei Moghaddam allows following entities to bill medicare on his behalf.

Entity Name	Peacehealth Networks On Demand Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023582178 PECOS PAC ID: 1759731383 Enrollment ID: O20240613000263

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 Ali Sanei Moghaddam 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 Ali Sanei Moghaddam, MD, ABFM, CCFP, MRCS 5416 Snow Goose Ln Unit 405, Blaine, WA 98230-6316 Ph: (425) 515-9022	Dr Ali Sanei Moghaddam, MD, ABFM, CCFP, MRCS 5416 Snow Goose Ln Unit 405, Blaine, WA 98230-6316 Ph: (425) 515-9022

Reviews and Comments

Family Medicine Doctors in Blaine, WA

Marta S Kazymyra, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 377 C St, Blaine, WA 98230 Phone: 360-332-6327 Fax: 360-332-4515
Dr. Bruce M Pederson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8097 Harborview Rd, Blaine, WA 98230 Phone: 360-371-5855 Fax: 360-371-5857
Dr. Roma Bharat Nagin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 861 Grant Ave, Blaine, WA 98230 Phone: 360-371-5855 Fax: 360-371-5857

Dr Ali Sanei Moghaddam, MD, ABFM, CCFP, MRCS - Medicare Family Medicine in Blaine, WA