Mawj Mustafa Kamal Al Ani, - Medicare Family Medicine in Lake Elsinore, CA

  1. Home
  2. Family Medicine
  3. CA
  4. Lake Elsinore
Mawj Mustafa Kamal Al Ani, is a medicare enrolled "Family Medicine" physician in Lake Elsinore, California. Her current practice location is 2499 E Lakeshore Dr, Lake Elsinore, California. You can reach out to her office (for appointments etc.) via phone at (951) 471-4200.

Mawj Mustafa Kamal Al Ani is licensed to practice in California (license number A202581) 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 1366184418.

Contact Information

Mawj Mustafa Kamal Al Ani,
2499 E Lakeshore Dr,
Lake Elsinore, CA 92530-4411
(951) 471-4200
(951) 486-5075

Map and Direction




Physician's Profile

Full NameMawj Mustafa Kamal Al Ani
GenderFemale
SpecialityFamily Medicine
Location2499 E Lakeshore Dr, Lake Elsinore, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366184418
  • Provider Enumeration Date: 04/10/2022
  • Last Update Date: 07/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153852405
  • Enrollment ID: I20240927001276

Medical Identifiers

Medical identifiers for Mawj Mustafa Kamal Al Ani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366184418NPI-NPPES
124131700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME169282 (Florida)Secondary
207Q00000XFamily Medicine A202581 (California)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. Mawj Mustafa Kamal Al Ani allows following entities to bill medicare on her behalf.
Entity NameLee Memorial Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992873319
PECOS PAC ID: 8729996608
Enrollment ID: O20031118000604
Entity NameLee Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942058557
PECOS PAC ID: 9335672146
Enrollment ID: O20241114001576

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. Mawj Mustafa Kamal Al Ani 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
Mawj Mustafa Kamal Al Ani,
2499 E Lakeshore Dr,
Lake Elsinore, CA 92530-4411

Ph: (951) 471-4200		Mawj Mustafa Kamal Al Ani,
2499 E Lakeshore Dr,
Lake Elsinore, CA 92530-4411

Ph: (951) 471-4200

Reviews and Comments


Family Medicine Doctors in Lake Elsinore, CA

J M Asprec, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 31571 Canyon Estates Dr, Suite 225, Lake Elsinore, CA 92532
Phone: 951-674-7811    Fax: 951-674-7812
Biplav Yadav, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31361 Riverside Dr, Lake Elsinore, CA 92530
Phone: 844-308-5003    Fax: 760-414-3892
Dr. Clint Ketchel, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 30195 Fraser Dr, Lake Elsinore, CA 92530
Phone: 951-252-2720    Fax: 760-414-3892
Dr. Naimah D. Powell, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 425 Diamond Drive, Suite 105, Lake Elsinore, CA 92530
Phone: 951-674-8779    Fax: 951-674-1403
Dr. Mohammad Reza Danesh, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31581 Canyon Estates Dr, Lake Elsinore, CA 92532
Phone: 951-244-3500    Fax: 951-244-3535
Monica Vidal,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 31361 Riverside Dr, Lake Elsinore, CA 92530
Phone: 844-308-5003    Fax: 760-414-3892

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.