Dr Maitham Ammory Moslim Moslim, MD in Rochester, NY

Dr Maitham Ammory Moslim Moslim, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Rochester, New York. His current practice location is 1415 Portland Ave Ste 245, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 922-5973.

Dr Maitham Ammory Moslim Moslim is licensed to practice in New York (license number 337815) 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 1871932822.

Contact Information

	Dr Maitham Ammory Moslim Moslim, MD
	1415 Portland Ave Ste 245, Rochester, NY 14621-3022
	(585) 922-5973
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Maitham Ammory Moslim Moslim
Gender	Male
Speciality	Surgery - Surgical Oncology
Location	1415 Portland Ave Ste 245, Rochester, 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: 1871932822
Provider Enumeration Date: 06/21/2013
Last Update Date: 06/23/2025

Medicare PECOS Information:

PECOS PAC ID: 0547562662
Enrollment ID: I20190430001288

Medical Identifiers

Medical identifiers for Dr Maitham Ammory Moslim Moslim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871932822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	35127433 (Ohio)	Secondary
208600000X	Surgery	337815 (New York)	Secondary
2086X0206X	Surgery - Surgical Oncology	337815 (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. Dr Maitham Ammory Moslim Moslim allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health Physicians North Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534

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 Maitham Ammory Moslim Moslim 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 Maitham Ammory Moslim Moslim, MD 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: () -	Dr Maitham Ammory Moslim Moslim, MD 1415 Portland Ave Ste 245, Rochester, NY 14621-3022 Ph: (585) 922-5973

Reviews and Comments

Surgery Doctors in Rochester, NY

Meghan C Little, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr Ste 211, Rochester, NY 14623 Phone: 585-486-0600
Dr. Mohamed Kamel Kamel Hussein, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 201-885-9143
Irina Kanzafarova, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-273-1745
Dr. Yanjie Qi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box Surg, Rochester, NY 14642 Phone: 585-275-3022 Fax: 585-276-7851
Jacob Moalem, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box Surg, Rochester, NY 14642 Phone: 585-275-1611 Fax: 585-273-1252
Dustin John Fanciullo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1445 Portland Ave, Suite 108, Rochester, NY 14621 Phone: 585-922-5550 Fax: 585-922-0450
Mary Lou O'neill-huber, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Erie Canal Dr, Suite B, Rochester, NY 14626 Phone: 585-225-5420 Fax: 585-225-5644

Dr Maitham Ammory Moslim Moslim, MD - Medicare Surgery in Rochester, NY