Dr Moustafa S Shamma, MD is a medicare enrolled "General Practice" physician in Lanham, Maryland. His current practice location is
8118 Good Luck Rd, Lanham, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 552-8665.
Dr Moustafa S Shamma is licensed to practice in Maryland (license number D43690) 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 1336149632.
Physician's Profile
| Full Name | Dr Moustafa S Shamma |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 8118 Good Luck Rd, Lanham, Maryland |
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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: 1336149632
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 11/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284680935
- Enrollment ID: I20101210000035
Medical Identifiers
Medical identifiers for Dr Moustafa S Shamma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336149632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | D0043690 (Maryland) | Secondary |
| 207R00000X | Internal Medicine | D43690 (Maryland) | Secondary |
| 208D00000X | General Practice | D43690 (Maryland) | 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 Moustafa S Shamma allows following entities to bill medicare on his behalf.
| Entity Name | Premier Acute Care Services Alexandria Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710578588 PECOS PAC ID: 3971993312 Enrollment ID: O20211129002652 |
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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 Moustafa S Shamma 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 Moustafa S Shamma, MD 6400 Marlboro Pike, District Heights, MD 20747-2841 Ph: (301) 736-7000 | Dr Moustafa S Shamma, MD 8118 Good Luck Rd, Lanham, MD 20706-3574 Ph: (301) 552-8665 |
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