Fatemeh Malekpour Ghorbani, in Staten Island, NY

Fatemeh Malekpour Ghorbani, is a medicare enrolled "Surgery - Vascular Surgery" physician in Staten Island, New York. Her current practice location is 501 Seaview Ave Ste 302, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 226-6800.

Fatemeh Malekpour Ghorbani is licensed to practice in New York (license number 298364) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962767632.

Contact Information

	Fatemeh Malekpour Ghorbani,
	501 Seaview Ave Ste 302, Staten Island, NY 10305-3400
	(718) 226-6800
	Not Available

Map and Direction

Physician's Profile

Full Name	Fatemeh Malekpour Ghorbani
Gender	Female
Speciality	Surgery - Vascular Surgery
Location	501 Seaview Ave Ste 302, Staten Island, 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: 1962767632
Provider Enumeration Date: 07/09/2012
Last Update Date: 02/23/2021

Medicare PECOS Information:

PECOS PAC ID: 3072848530
Enrollment ID: I20190706000186

Medical Identifiers

Medical identifiers for Fatemeh Malekpour Ghorbani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962767632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	R0611 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086S0129X	Surgery - Vascular Surgery	298364 (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. Fatemeh Malekpour Ghorbani allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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. Fatemeh Malekpour Ghorbani 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
Fatemeh Malekpour Ghorbani, 501 Seaview Ave Ste 302, Staten Island, NY 10305-3400 Ph: (718) 226-6800	Fatemeh Malekpour Ghorbani, 501 Seaview Ave Ste 302, Staten Island, NY 10305-3400 Ph: (718) 226-6800

Reviews and Comments

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Fatemeh Malekpour Ghorbani, - Medicare Surgery in Staten Island, NY