Dr Maxim Moradian, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Glendale, California. He went to Pennsylvania State University College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice California Sports And Spine Institute Pc and his current practice location is
800 S Central Ave Ste 301, Glendale, California. You can reach out to his office (for appointments etc.) via phone at
(818) 338-6860.
Dr Maxim Moradian is licensed to practice in California (license number A118692) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1497924864.
Physician's Profile
| Full Name | Dr Maxim Moradian |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 17 Years |
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| Location | 800 S Central Ave Ste 301, Glendale, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Maxim Moradian attended and graduated from Pennsylvania State University College Of Medicine in 2007
NPI Data:
- NPI Number: 1497924864
- Provider Enumeration Date: 02/29/2008
- Last Update Date: 04/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557537891
- Enrollment ID: I20130726000689
Medical Identifiers
Medical identifiers for Dr Maxim Moradian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497924864 | NPI | - | NPPES |
| 1006289 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | MD442485 (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | MD202793 (Louisiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A118692 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| California Sports And Spine Institute Pc | 8123394699 | 2 |
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 Maxim Moradian allows following entities to bill medicare on his behalf.
| Entity Name | California Sports And Spine Institute Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801327606
PECOS PAC ID: 8123394699
Enrollment ID: O20171027001500 |
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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 Maxim Moradian 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 |
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Dr Maxim Moradian, MD
2627 E Washington Blvd,
Pasadena, CA 91107-1412
Ph: (626) 797-2002 | Dr Maxim Moradian, MD
800 S Central Ave Ste 301,
Glendale, CA 91204-4388
Ph: (818) 338-6860 |
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