Dr Mohammad Ehsan Darbandi, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Norfolk, Virginia. His current practice location is
855 W Brambleton Ave, Norfolk, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 446-5910.
Dr Mohammad Ehsan Darbandi is licensed to practice in * (Not Available) (license number ) 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 1548616931.
Physician's Profile
| Full Name | Dr Mohammad Ehsan Darbandi |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 855 W Brambleton Ave, Norfolk, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548616931
- Provider Enumeration Date: 05/04/2016
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325381262
- Enrollment ID: I20191003001136
Medical Identifiers
Medical identifiers for Dr Mohammad Ehsan Darbandi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548616931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | H0087081 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Mohammad Ehsan Darbandi allows following entities to bill medicare on his behalf.
| Entity Name | Lifebridge Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174815807
PECOS PAC ID: 3678751468
Enrollment ID: O20110627000318 |
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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. Dr Mohammad Ehsan Darbandi 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 |
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Dr Mohammad Ehsan Darbandi, DO
29 Boulder Ct,
Cockeysville, MD 21030-2451
Ph: (443) 570-5023 | Dr Mohammad Ehsan Darbandi, DO
855 W Brambleton Ave,
Norfolk, VA 23510-1005
Ph: (757) 446-5910 |
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