Kayley Mahmoodian, is a medicare enrolled "Physician Assistant" in Gulf Shores, Alabama. Her current practice location is
3849 Gulf Shores Pkwy Ste 9, Gulf Shores, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 957-8970.
Kayley Mahmoodian is licensed to practice in * (Not Available) (license number ) 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 1851070999.
Provider's Profile
Full Name | Kayley Mahmoodian |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3849 Gulf Shores Pkwy Ste 9, Gulf Shores, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851070999
- Provider Enumeration Date: 07/17/2023
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052848090
- Enrollment ID: I20250102002367
Medical Identifiers
Medical identifiers for Kayley Mahmoodian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851070999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Kayley Mahmoodian 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 |
Kayley Mahmoodian, 3849 Gulf Shores Pkwy Ste 9, Gulf Shores, AL 36542-2857 Ph: () - | Kayley Mahmoodian, 3849 Gulf Shores Pkwy Ste 9, Gulf Shores, AL 36542-2857 Ph: (251) 957-8970 |
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