Mushtaq Memon, MD - Medicare Family Medicine in Staten Island, NY

Mushtaq Memon, MD is a medicare enrolled "Family Medicine" physician in Staten Island, New York. His current practice location is 1050 Clove Rd, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 816-6440.

Mushtaq Memon is licensed to practice in New York (license number 228479) 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 1780645739.

Contact Information

Mushtaq Memon, MD
1050 Clove Rd,
Staten Island, NY 10301-3627
(718) 816-6440
(718) 816-3611

Map and Direction




Physician's Profile

Full NameMushtaq Memon
GenderMale
SpecialityFamily Medicine
Location1050 Clove Rd, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780645739
  • Provider Enumeration Date: 03/29/2006
  • Last Update Date: 10/10/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5597757872
  • Enrollment ID: I20130510000185

Medical Identifiers

Medical identifiers for Mushtaq Memon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780645739NPI-NPPES
02457743MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 228479 (New York)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. Mushtaq Memon allows following entities to bill medicare on his behalf.
Entity NameState Of New Jersey Omb Centralized Payroll
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467552240
PECOS PAC ID: 6406742592
Enrollment ID: O20050603000317
Entity NameAzz Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699704809
PECOS PAC ID: 6002132685
Enrollment ID: O20150225001108

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. Mushtaq Memon 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
Mushtaq Memon, MD
1050 Clove Rd,
Staten Island, NY 10301-3627

Ph: (718) 816-6440
Mushtaq Memon, MD
1050 Clove Rd,
Staten Island, NY 10301-3627

Ph: (718) 816-6440

Reviews and Comments


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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).

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