Marjan Moghaddam, DO - Medicare General Practice in Detroit, MI

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Marjan Moghaddam, DO is a medicare enrolled "Family Medicine" physician in Detroit, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Henry Ford Medical Group and her current practice location is 3370 E Jefferson Ave, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (800) 659-6568.

Marjan Moghaddam is licensed to practice in Michigan (license number 5101019748) 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 1457615247.

Contact Information

Marjan Moghaddam, DO
3370 E Jefferson Ave,
Detroit, MI 48207-4236
(800) 659-6568
(313) 656-1610

Map and Direction




Physician's Profile

Full NameMarjan Moghaddam
GenderFemale
SpecialityGeneral Practice
Experience12 Years
Location3370 E Jefferson Ave, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marjan Moghaddam attended and graduated from Michigan State University College Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1457615247
  • Provider Enumeration Date: 06/27/2012
  • Last Update Date: 03/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042525495
  • Enrollment ID: I20150814013090

Medical Identifiers

Medical identifiers for Marjan Moghaddam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457615247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101019748 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112095

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. Marjan Moghaddam allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139
Entity NameHenry Ford Wyandotte Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093940272
PECOS PAC ID: 2264334499
Enrollment ID: O20040316000717

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. Marjan Moghaddam 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 AddressPractice Location Address
Marjan Moghaddam, DO
4077 Crooks Rd,
Royal Oak, MI 48073-2481

Ph: (248) 595-2328		Marjan Moghaddam, DO
3370 E Jefferson Ave,
Detroit, MI 48207-4236

Ph: (800) 659-6568

Reviews and Comments


Family Medicine Doctors in Detroit, MI

Dr. Fadl A Chokr, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
James Choi, M.D.
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Medicare: Medicare Enrolled
Practice Location: 11260 E Jefferson Ave, Detroit, MI 48214
Phone: 313-749-0148    
Arnel V. Clarin, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: Henry Ford Health System, 1151 Taylor, Detroit, MI 48202
Phone: 313-823-9800    
Dr. Lauren Alicia Robinson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6150 Cadieux Rd, Detroit, MI 48224
Phone: 313-398-2800    Fax: 313-649-4855
Robert Nmn Sims, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9150 Linwood Ave, Detroit, MI 48206
Phone: 313-895-6605    Fax: 313-895-6530
Kimberly M. Winston Matthews, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Henry Ford Health System, 4401 Conner, Detroit, MI 48215
Phone: 313-823-9800    Fax: 313-823-9883
Peter G. Coggan, M.D.MSED
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Medicare: Not Enrolled in Medicare
Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 313-916-2436    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.