Ali Mozayan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" provider in Modesto, California. His current practice location is
600 Coffee Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at
(209) 550-4755.
Ali Mozayan is licensed to practice in California (license number A198582) 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 1427552389.
Healthcare Provider's Profile
Full Name | Ali Mozayan |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 600 Coffee Rd, Modesto, California |
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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: 1427552389
- Provider Enumeration Date: 03/23/2018
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658762356
- Enrollment ID: I20241024001081
Medical Identifiers
Medical identifiers for Ali Mozayan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427552389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NR0200X | Chiropractor - Radiology | A198582 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A198582 (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. Ali Mozayan allows following entities to bill medicare on his behalf.
Provider Name | Sutter Valley Medical Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
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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. Ali Mozayan 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 |
Ali Mozayan, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Ali Mozayan, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 550-4755 |
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