Ali Marzooq, MD is a medicare enrolled "Dermatology" physician in Coupeville, Washington. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Silver Falls Dermatology Llc and his current practice location is
5 Ne 4th St Ste B, Coupeville, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 336-3026.
Ali Marzooq is licensed to practice in Washington (license number MD61283001) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740677079.
Physician's Profile
| Full Name | Ali Marzooq |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 15 Years |
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| Location | 5 Ne 4th St Ste B, Coupeville, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ali Marzooq graduated from medical school in 2009
NPI Data:
- NPI Number: 1740677079
- Provider Enumeration Date: 04/24/2015
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739427626
- Enrollment ID: I20220723000192
Medical Identifiers
Medical identifiers for Ali Marzooq such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740677079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 57008 (Arizona) | Secondary |
| 207N00000X | Dermatology | MD61283001 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Silver Falls Dermatology Llc | 5890863492 | 81 |
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 Marzooq allows following entities to bill medicare on his behalf.
| Entity Name | Silver Falls Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134375421
PECOS PAC ID: 5890863492
Enrollment ID: O20140328000678 |
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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 Marzooq 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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Ali Marzooq, MD
1793 13th St Se,
Salem, OR 97302-2541
Ph: (503) 362-8385 | Ali Marzooq, MD
5 Ne 4th St Ste B,
Coupeville, WA 98239-3630
Ph: (360) 336-3026 |
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