Umme Mobassera, MD is a medicare enrolled "General Practice" physician in Island Park, New York. She graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Briarwood Medical Services Pc and her current practice location is
1 Long Beach Rd, Island Park, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 432-0300.
Umme Mobassera is licensed to practice in ZZ (license number 31451) 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 1063278604.
Physician's Profile
| Full Name | Umme Mobassera |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 25 Years |
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| Location | 1 Long Beach Rd, Island Park, 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:
- Umme Mobassera graduated from medical school in 2000
NPI Data:
- NPI Number: 1063278604
- Provider Enumeration Date: 02/22/2024
- Last Update Date: 02/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931642055
- Enrollment ID: I20240618001019
Medical Identifiers
Medical identifiers for Umme Mobassera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063278604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 31451 (ZZ) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Briarwood Medical Services Pc | 3173622594 | 3 |
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. Umme Mobassera allows following entities to bill medicare on her behalf.
| Entity Name | Briarwood Medical Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770780926 PECOS PAC ID: 3173622594 Enrollment ID: O20070626000803 |
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| Entity Name | Nys Medical Associate Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104268572 PECOS PAC ID: 8022243492 Enrollment ID: O20131021001887 |
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| Entity Name | Fresh Meadows Physician Practice Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720775083 PECOS PAC ID: 0941657811 Enrollment ID: O20231114003265 |
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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. Umme Mobassera 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 |
Umme Mobassera, MD 194 Smith St Apt 1c, Freeport, NY 11520-4308 Ph: (215) 758-7786 | Umme Mobassera, MD 1 Long Beach Rd, Island Park, NY 11558-2254 Ph: (516) 432-0300 |
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