Mohammad O Azam, PA - Medicare Physician Assistant in Mineola, NY

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Mohammad O Azam, PA is a medicare enrolled "Physician Assistant - Medical" in Mineola, New York. His current practice location is 120 Mineola Blvd Ste 330, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 663-8850.

Mohammad O Azam is licensed to practice in New York (license number 012399) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669626024.

Contact Information

Mohammad O Azam, PA
120 Mineola Blvd Ste 330,
Mineola, NY 11501-4077
(516) 663-8850
Not Available

Map and Direction




Provider's Profile

Full NameMohammad O Azam
GenderMale
SpecialityPhysician Assistant - Medical
Location120 Mineola Blvd Ste 330, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669626024
  • Provider Enumeration Date: 11/12/2008
  • Last Update Date: 08/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385832104
  • Enrollment ID: I20101221000640

Medical Identifiers

Medical identifiers for Mohammad O Azam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669626024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 012399 (New York)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. Mohammad O Azam allows following entities to bill medicare on his behalf.
Entity NameNorthwell Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215019500
PECOS PAC ID: 3971531039
Enrollment ID: O20070215000718
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026
Entity NameNorth Shore-lij Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Mohammad O Azam 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 AddressPractice Location Address
Mohammad O Azam, PA
10 E Merrick Rd, Suite 207,
Valley Stream, NY 11580-5800

Ph: (516) 256-2017		Mohammad O Azam, PA
120 Mineola Blvd Ste 330,
Mineola, NY 11501-4077

Ph: (516) 663-8850

Reviews and Comments


Physician Assistant Nurses in Mineola, NY

Gina Carucci,
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Phone: 516-663-0333    
Mr. James Valloor, RPA-C
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Practice Location: 419 Wilson Blvd, Mineola, NY 11501
Phone: 516-395-4229    
Monica Da Silva Oliveira, PA-C
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Practice Location: 200 Old Country Rd, Mineola, NY 11501
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Charles Summers, CHARLES SUMMERS
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Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-8312    Fax: 516-663-2184
Miss Michele White, RPA-C
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Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-2337    
Aimee Hsu, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-8312    
Kasey Lorraine Innamorato, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-9734    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.