Mussa Banisadre, MD - Medicare Hematology in Modesto, CA

Mussa Banisadre, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Modesto, California. He graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Hematology. He is a member of the group practice Stockton Hematology Oncology Medical Group Inc and his current practice location is 1325 Melrose Ave, Suite A, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 524-7000.

Mussa Banisadre is licensed to practice in California (license number A38740) 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 1043264690.

Contact Information

Mussa Banisadre, MD
1325 Melrose Ave, Suite A,
Modesto, CA 95350-5508
(209) 524-7000
(209) 527-5601

Map and Direction




Physician's Profile

Full NameMussa Banisadre
GenderMale
SpecialityHematology
Experience51 Years
Location1325 Melrose Ave, Modesto, California
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:
  • Mussa Banisadre graduated from medical school in 1973
  NPI Data:
  • NPI Number: 1043264690
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 04/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7315907524
  • Enrollment ID: I20080122000771

Medical Identifiers

Medical identifiers for Mussa Banisadre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043264690NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology A38740 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Doctors Medical CenterModesto, CAHospital
Oak Valley Hospital DistrictOakdale, CAHospital
Doctors Hospital Of MantecaManteca, CAHospital
Adventist Health SonoraSonora, CAHospital
Emanuel Medical CenterTurlock, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stockton Hematology Oncology Medical Group Inc14563698008

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. Mussa Banisadre allows following entities to bill medicare on his behalf.
Entity NameStockton Hematology Oncology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922175074
PECOS PAC ID: 1456369800
Enrollment ID: O20060328000211
Entity NameCalifornia Cancer Care Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033163688
PECOS PAC ID: 1153402698
Enrollment ID: O20080122000760

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. Mussa Banisadre 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
Mussa Banisadre, MD
1325 Melrose Ave, Suite A,
Modesto, CA 95350-5508

Ph: (209) 524-7000
Mussa Banisadre, MD
1325 Melrose Ave, Suite A,
Modesto, CA 95350-5508

Ph: (209) 524-7000

Reviews and Comments


Internal Medicine Doctors in Modesto, CA

Brian E. Dolnick, DO
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Phone: 209-577-5557    Fax: 209-577-8125
Esra Olgun, MD
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Dr. Paul Golden, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1330 Nelson Ave, Suite C, Modesto, CA 95350
Phone: 209-576-1547    Fax: 209-576-2736

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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