Bishr Al Dabagh, MD - Medicare Micrographic Dermatologic Surgery (mds) in Mooresville, NC

Bishr Al Dabagh, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Mooresville, North Carolina. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Bold City Dermatology Llc, Fora Dermatology Pllc and his current practice location is 118 Gateway Blvd Ste A, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 230-1302.

Bishr Al Dabagh is licensed to practice in North Carolina (license number 2019-01570) 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 1154565661.

Contact Information

Bishr Al Dabagh, MD
118 Gateway Blvd Ste A,
Mooresville, NC 28117-6542
(704) 230-1302
Not Available

Map and Direction




Physician's Profile

Full NameBishr Al Dabagh
GenderMale
SpecialityMicrographic Dermatologic Surgery (mds)
Experience15 Years
Location118 Gateway Blvd Ste A, Mooresville, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bishr Al Dabagh attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2009
  NPI Data:
  • NPI Number: 1154565661
  • Provider Enumeration Date: 04/28/2009
  • Last Update Date: 01/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234353087
  • Enrollment ID: I20191101000274

Medical Identifiers

Medical identifiers for Bishr Al Dabagh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154565661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 4301106561 (Michigan)Secondary
207N00000XDermatology MD17679 (Hawaii)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery MD17679 (Hawaii)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery ME142263 (Florida)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 4301106561 (Michigan)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 49483 (Arizona)Secondary
207NS0135XDermatology - Procedural Dermatology A125540 (California)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 2019-01570 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bold City Dermatology Llc27698979744
Fora Dermatology Pllc63052725433

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. Bishr Al Dabagh allows following entities to bill medicare on his behalf.
Entity NameBold City Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538761655
PECOS PAC ID: 2769897974
Enrollment ID: O20210222001927

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. Bishr Al Dabagh 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
Bishr Al Dabagh, MD
118 Gateway Blvd Ste A,
Mooresville, NC 28117-6542

Ph: (704) 230-1302
Bishr Al Dabagh, MD
118 Gateway Blvd Ste A,
Mooresville, NC 28117-6542

Ph: (704) 230-1302

Reviews and Comments


Dermatology Doctors in Mooresville, NC

Dr. Michael J Redmond, M.D.
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Dr. Naomi Soroosh Simon, MD
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Blake Sanders, DO
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Practice Location: 170 Medical Park Rd Ste 203, Mooresville, NC 28117
Phone: 980-550-2400    Fax: 980-550-2424

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.