Ahmed Moid Siddiqui, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Brooklyn, New York. His current practice location is
240 Willoughby St, Maynard Building - Suite 19c, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 250-6120.
Ahmed Moid Siddiqui is licensed to practice in * (Not Available) (license number ) 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 1902254576.
Physician's Profile
Full Name | Ahmed Moid Siddiqui |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 240 Willoughby St, Brooklyn, New York |
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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: 1902254576
- Provider Enumeration Date: 05/24/2016
- Last Update Date: 05/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739426297
- Enrollment ID: I20230426001175
Medical Identifiers
Medical identifiers for Ahmed Moid Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902254576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | BP10070894 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ahmed Moid Siddiqui allows following entities to bill medicare on his behalf.
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
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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. Ahmed Moid Siddiqui 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 |
Ahmed Moid Siddiqui, MD 240 Willoughby St, Maynard Building - Suite 19c, Brooklyn, NY 11201-5465 Ph: (718) 250-6120 | Ahmed Moid Siddiqui, MD 240 Willoughby St, Maynard Building - Suite 19c, Brooklyn, NY 11201-5465 Ph: (718) 250-6120 |
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