Mitra Mossaddad, MD in Leesburg, FL - Medicare Obstetrics/gynecology

Mitra Mossaddad, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Leesburg, Florida. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Cora Health Services Inc, Vitalmd Group Holding Llc and her current practice location is 601 E Dixie Ave Ste 401, Leesburg, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 787-1535.

Mitra Mossaddad is licensed to practice in Florida (license number ME161007) 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 1205492154.

Contact Information

	Mitra Mossaddad, MD
	601 E Dixie Ave Ste 401, Leesburg, FL 34748-5997
	(352) 787-1535
	Not Available

Map and Direction

Physician's Profile

Full Name	Mitra Mossaddad
Gender	Female
Speciality	Obstetrics/gynecology
Experience	7 Years
Location	601 E Dixie Ave Ste 401, Leesburg, Florida
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:

Mitra Mossaddad graduated from medical school in 2019

NPI Data:

NPI Number: 1205492154
Provider Enumeration Date: 05/16/2019
Last Update Date: 04/27/2026

Medicare PECOS Information:

PECOS PAC ID: 7416317763
Enrollment ID: I20230718002003

Medical Identifiers

Medical identifiers for Mitra Mossaddad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205492154	NPI	-	NPPES
130981700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	ME161007 (Florida)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uf Health Leesburg Hospital	Leesburg, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cora Health Services Inc	1759290992	1216
Vitalmd Group Holding Llc	8921091786	533

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. Mitra Mossaddad allows following entities to bill medicare on her behalf.

Entity Name	Vitalmd Group Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878

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. Mitra Mossaddad 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
Mitra Mossaddad, MD 1900 Don Wickham Dr, Clermont, FL 34711-1979 Ph: (321) 841-9863	Mitra Mossaddad, MD 601 E Dixie Ave Ste 401, Leesburg, FL 34748-5997 Ph: (352) 787-1535

Reviews and Comments

Obstetrics & Gynecology Doctors in Leesburg, FL

Nateya Carrington, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 E Main St Ste 1, Leesburg, FL 34748 Phone: 352-728-3898
Dr. Shivakumar S Hanubal, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1414 E Main St, Leesburg, FL 34748 Phone: 352-728-3898 Fax: 352-728-6240
Dr. Mary Beth Lewis-boardman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 305 S Childs St, Leesburg, FL 34748 Phone: 352-348-3008 Fax: 352-432-1479
Dr. Wendell John Courtney, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave, Suite301, Leesburg, FL 34748 Phone: 352-787-1001
Dr. Manuel Alvarado, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 E Main St, Leesburg, FL 34748 Phone: 352-728-3898 Fax: 352-728-6240

Mitra Mossaddad, MD - Medicare Obstetrics/gynecology in Leesburg, FL