Omar Mousa, MBBS is a medicare enrolled "Transplant Surgery" physician in Jacksonville, Florida. He graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Mayo Clinic Jacksonville, Mayo Clinic Health System-southwest Minnesota Region, Mayo Clinic and his current practice location is
4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 953-2000.
Omar Mousa is licensed to practice in Florida (license number ME123629) 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 1942555909.
Physician's Profile
| Full Name | Omar Mousa |
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| Gender | Male |
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| Speciality | Gastroenterology |
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| Experience | 18 Years |
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| Location | 4500 San Pablo Rd S, Jacksonville, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Omar Mousa graduated from medical school in 2008
NPI Data:
- NPI Number: 1942555909
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658686167
- Enrollment ID: I20150812008811
Medical Identifiers
Medical identifiers for Omar Mousa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942555909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | 63920 (Minnesota) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | ME123629 (Florida) | Secondary |
| 204F00000X | Transplant Surgery | ME123629 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mayo Clinic Jacksonville | 5698689297 | 1429 |
| Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 605 |
| Mayo Clinic | 6507778255 | 4507 |
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. Omar Mousa allows following entities to bill medicare on his behalf.
| Entity Name | Mayo Clinic Jacksonville |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388 |
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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. Omar Mousa 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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Omar Mousa, MBBS
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Omar Mousa, MBBS
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
Ph: (904) 953-2000 |
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