Farnaz Nani Moazzam, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Pekin, Illinois. She went to Emory University School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Mason Hospital District, Graham Hospital Association and her current practice location is
600 S 13th St, # I, Pekin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 495-0200.
Farnaz Nani Moazzam is licensed to practice in Illinois (license number 036101798) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487669735.
Physician's Profile
| Full Name | Farnaz Nani Moazzam |
|---|
| Gender | Female |
|---|
| Speciality | General Surgery |
|---|
| Experience | 28 Years |
|---|
| Location | 600 S 13th St, Pekin, Illinois |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Farnaz Nani Moazzam attended and graduated from Emory University School Of Medicine in 1997
NPI Data:
- NPI Number: 1487669735
- Provider Enumeration Date: 07/29/2006
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557410867
- Enrollment ID: I20090515000410
Medical Identifiers
Medical identifiers for Farnaz Nani Moazzam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487669735 | NPI | - | NPPES |
| 036101798 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036101798 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mason Hospital District | 2466360607 | 37 |
| Graham Hospital Association | 2769375021 | 112 |
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. Farnaz Nani Moazzam allows following entities to bill medicare on her behalf.
| Entity Name | Pekin Prohealth Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
|---|
| Entity Name | Mason Hospital District |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399 |
|---|
| Entity Name | Graham Hospital Association |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
|---|
| Entity Name | Siebert Moazzam P C |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396780292 PECOS PAC ID: 2567511876 Enrollment ID: O20090515000361 |
|---|
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. Farnaz Nani Moazzam 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 |
Farnaz Nani Moazzam, MD 600 S 13th St, # I, Pekin, IL 61554-4936 Ph: (309) 495-0200 | Farnaz Nani Moazzam, MD 600 S 13th St, # I, Pekin, IL 61554-4936 Ph: (309) 495-0200 |
Reviews and Comments