Sananda Isabella Moctezuma, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice The Emory Clinic Inc and her current practice location is
1000 10th Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 523-6800.
Sananda Isabella Moctezuma is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083109912.
Physician's Profile
| Full Name | Sananda Isabella Moctezuma |
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| Gender | Female |
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| Speciality | Endocrinology |
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| Experience | 8 Years |
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| Location | 1000 10th Ave, New York, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Sananda Isabella Moctezuma graduated from medical school in 2017
NPI Data:
- NPI Number: 1083109912
- Provider Enumeration Date: 06/23/2018
- Last Update Date: 01/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012253982
- Enrollment ID: I20240612003889
Medical Identifiers
Medical identifiers for Sananda Isabella Moctezuma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083109912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 97898 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The Emory Clinic Inc | 8820901408 | 3084 |
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. Sananda Isabella Moctezuma allows following entities to bill medicare on her behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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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. Sananda Isabella Moctezuma 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 |
Sananda Isabella Moctezuma, MD 1000 10th Ave, New York, NY 10019-1147 Ph: () - | Sananda Isabella Moctezuma, MD 1000 10th Ave, New York, NY 10019-1147 Ph: (212) 523-6800 |
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