Hamidreza Moghaddam Md Pa is a medicare enrolled "Internal Medicine" provider in North Miami, Florida. Their current practice location is
527 Ne 124th St, North Miami, Florida. You can reach out to their office (for appointments etc.) via phone at
(305) 895-9233.
Hamidreza Moghaddam Md Pa is licensed to practice in Florida (license number ME91771) and it also participates in the medicare program. Hamidreza Moghaddam Md Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1457300386.
Healthcare Provider's Profile
| Full Name | Hamidreza Moghaddam Md Pa |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 527 Ne 124th St, North Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457300386
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 02/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 3173535689
- Enrollment ID: O20060628000108
Medical Identifiers
Medical identifiers for Hamidreza Moghaddam Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457300386 | NPI | - | NPPES |
| 273130400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3670 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME91771 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Hamidreza Moghaddam Md Pa acts as a billing entity for following providers:
| Provider Name | Roya R Borjian |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1033120084
PECOS PAC ID: 6709829047
Enrollment ID: I20050607000907 |
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| Provider Name | Hamidreza Moghaddam |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1477519122
PECOS PAC ID: 5092730028
Enrollment ID: I20051010000459 |
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| Provider Name | Sarlette Jean-baptiste |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1730496324
PECOS PAC ID: 0446438642
Enrollment ID: I20110616000483 |
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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. Hamidreza Moghaddam Md Pa 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 |
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Hamidreza Moghaddam Md Pa
527 Ne 124th St,
North Miami, FL 33161-5423
Ph: (305) 895-9233 | Hamidreza Moghaddam Md Pa
527 Ne 124th St,
North Miami, FL 33161-5423
Ph: (305) 895-9233 |
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