Amennah S Moghaddam, NP in Pleasanton, CA - Medicare Nurse Practitioner

Amennah S Moghaddam, NP is a medicare enrolled "Nurse Practitioner" in Pleasanton, California. Her current practice location is 4361 Railroad Ave, Pleasanton, California. You can reach out to her office (for appointments etc.) via phone at (925) 462-1755.

Amennah S Moghaddam is licensed to practice in California (license number 95000419) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285046557.

Contact Information

	Amennah S Moghaddam, NP
	4361 Railroad Ave, Pleasanton, CA 94566-6611
	(925) 462-1755
	Not Available

Map and Direction

Provider's Profile

Full Name	Amennah S Moghaddam
Gender	Female
Speciality	Nurse Practitioner
Location	4361 Railroad Ave, Pleasanton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285046557
Provider Enumeration Date: 05/21/2014
Last Update Date: 12/27/2016

Medicare PECOS Information:

PECOS PAC ID: 6103261987
Enrollment ID: I20240303000039

Medical Identifiers

Medical identifiers for Amennah S Moghaddam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285046557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95000419 (California)	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. Amennah S Moghaddam allows following entities to bill medicare on her behalf.

Entity Name	Contra Costa County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376620336 PECOS PAC ID: 8628052974 Enrollment ID: O20050707001058

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. Amennah S Moghaddam 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
Amennah S Moghaddam, NP 4361 Railroad Ave, Pleasanton, CA 94566-6611 Ph: (925) 462-1755	Amennah S Moghaddam, NP 4361 Railroad Ave, Pleasanton, CA 94566-6611 Ph: (925) 462-1755

Reviews and Comments

Nurse Practitioner Nurses in Pleasanton, CA

Clivens Elie Fils, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5424 Sunol Blvd Ste 10, Pleasanton, CA 94566 Phone: 561-667-3788
Ms. Joan G Venturi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7601 Stoneridge Dr, Pleasanton, CA 94588 Phone: 925-847-5612
Ms. Arlene Melville, R.N.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5575 W Las Positas Blvd, #330, Pleasanton, CA 94588 Phone: 925-734-6655 Fax: 925-734-9294
Charles D. Short Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588 Phone: 925-924-1600
Mrs. Desiree Dawn Quinn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 Hopyard Rd #100, Team Health, Pleasanton, CA 94588 Phone: 925-924-1600 Fax: 925-924-0506
Mr. Arsenio Dalisay Panopio Jr., FNP-C, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5311 Hopyard Road, Pleasanton, CA 94588 Phone: 925-202-2478
Ms. Laura Anne Balassone, R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7601 Stoneridge Dr, Pleasanton, CA 94588 Phone: 925-847-5714

Amennah S Moghaddam, NP - Medicare Nurse Practitioner in Pleasanton, CA