Dr Mohanned Hassan Mohammed Ahmed, MD - Medicare Family Practice in Pine Bluff, AR

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Dr Mohanned Hassan Mohammed Ahmed, MD is a medicare enrolled "Family Medicine" physician in Pine Bluff, Arkansas. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Monticello Ess Llc, St Vincent Medical Group and his current practice location is 1600 W 40th Ave, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 541-7100.

Dr Mohanned Hassan Mohammed Ahmed is licensed to practice in Arkansas (license number E-11695) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053725499.

Contact Information

Dr Mohanned Hassan Mohammed Ahmed, MD
1600 W 40th Ave,
Pine Bluff, AR 71603-6301
(870) 541-7100
(870) 541-7204

Map and Direction




Physician's Profile

Full NameDr Mohanned Hassan Mohammed Ahmed
GenderMale
SpecialityFamily Practice
Experience19 Years
Location1600 W 40th Ave, Pine Bluff, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mohanned Hassan Mohammed Ahmed graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1053725499
  • Provider Enumeration Date: 06/13/2014
  • Last Update Date: 07/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0345539680
  • Enrollment ID: I20181108001977

Medical Identifiers

Medical identifiers for Dr Mohanned Hassan Mohammed Ahmed such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053725499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E-11695 (Arkansas)Secondary
207RG0300XInternal Medicine - Geriatric Medicine 4301104828 (Michigan)Secondary
208D00000XGeneral Practice 074885 (Georgia)Secondary
207Q00000XFamily Medicine E-11695 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi-st Vincent InfirmaryLittle rock, ARHospital
Drew Memorial HospitalMonticello, ARHospital
St Vincent Medical Center/northSherwood, ARHospital
St Marys Regional Medical CenterRussellville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monticello Ess Llc488091463912
St Vincent Medical Group5698758803205

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 Mohanned Hassan Mohammed Ahmed allows following entities to bill medicare on his behalf.
Entity NameSt Vincent Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176480
PECOS PAC ID: 5698758803
Enrollment ID: O20040622000224
Entity NameArkansas Emergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774630
PECOS PAC ID: 3274681341
Enrollment ID: O20090501000014
Entity NameMonticello Ess Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184010753
PECOS PAC ID: 4880914639
Enrollment ID: O20150519002625
Entity NameSoutheast Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647
Entity NameHospital Care Consultants Of Fordyce Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316497464
PECOS PAC ID: 5395024475
Enrollment ID: O20161112000042
Entity NameEss Of Fordyce Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821547977
PECOS PAC ID: 1254611601
Enrollment ID: O20161201001070
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20190325001423

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 Mohanned Hassan Mohammed Ahmed 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
Dr Mohanned Hassan Mohammed Ahmed, MD
4166 Snapfinger Woods Dr,
Decatur, GA 30035-3411

Ph: (404) 289-6199		Dr Mohanned Hassan Mohammed Ahmed, MD
1600 W 40th Ave,
Pine Bluff, AR 71603-6301

Ph: (870) 541-7100

Reviews and Comments


Family Medicine Doctors in Pine Bluff, AR

Mrs. Larisa Kachowski, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603
Phone: 870-619-4516    
Simmie Armstrong Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603
Phone: 870-535-6461    Fax: 870-535-0594
Dr. Sree Chellappan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6010
Manuel R Kelley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601
Phone: 870-543-2380    Fax: 870-535-4716
Pavana Naga Gopi Krishna Tirumanisetti, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6009
Dr. Toni L Middleton, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-7622
Margaret Ann Washington, A.N.P.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601
Phone: 870-543-2380    Fax: 870-535-4716

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.