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.
Physician's Profile
Full Name | Dr Ali Sanei Moghaddam |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 5416 Snow Goose Ln Unit 405, Blaine, Washington |
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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: 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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023582178 PECOS PAC ID: 1759731383 Enrollment ID: O20240613000263 |
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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. 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 |
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