Mazen Bassam Omar, MD in Muscle Shoals, AL - Medicare Psychiatry & Neurology

Mazen Bassam Omar, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Muscle Shoals, Alabama. His current practice location is 203 West Avalon Ave Ste 100, Muscle Shoals, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 386-4940.

Mazen Bassam Omar is licensed to practice in Alabama (license number MD.41948) 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 1114488467.

Contact Information

	Mazen Bassam Omar, MD
	203 West Avalon Ave Ste 100, Muscle Shoals, AL 35661
	(256) 386-4940
	(256) 386-4944

Map and Direction

Physician's Profile

Full Name	Mazen Bassam Omar
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	203 West Avalon Ave Ste 100, Muscle Shoals, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114488467
Provider Enumeration Date: 03/28/2019
Last Update Date: 08/05/2025

Medicare PECOS Information:

PECOS PAC ID: 1456783737
Enrollment ID: I20221025003069

Medical Identifiers

Medical identifiers for Mazen Bassam Omar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114488467	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	317497 (North Carolina)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	036.165907 (Illinois)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	V8509 (Texas)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD.41948 (Alabama)	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. Mazen Bassam Omar allows following entities to bill medicare on his behalf.

Entity Name	Altapointe Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518095413 PECOS PAC ID: 1052224052 Enrollment ID: O20040206000701

Entity Name	Shoals Health Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073851630 PECOS PAC ID: 6800033192 Enrollment ID: O20130503000428

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. Mazen Bassam Omar 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
Mazen Bassam Omar, MD 203 West Avalon Ave Ste 100, Muscle Shoals, AL 35661 Ph: (256) 386-4940	Mazen Bassam Omar, MD 203 West Avalon Ave Ste 100, Muscle Shoals, AL 35661 Ph: (256) 386-4940

Reviews and Comments

Psychiatry & Neurology Doctors in Muscle Shoals, AL

Dr. Bhargavi Nagendra, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-551-4652
Emmy Graham, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-386-4940
Andrea Yates, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-768-8323
Muhammad Taha Farooq, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-768-8323
David C Waggoner, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 W Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-386-1600
Venkatesh Panthangi, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 203 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-386-4940 Fax: 256-386-4929

Mazen Bassam Omar, MD - Medicare Psychiatry & Neurology in Muscle Shoals, AL