Dr Deeni Bassam, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Manassas, Virginia. He went to University Of Virginia School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Nova Advanced Pain Management Pllc, Select Physical Therapy Holdings Inc and his current practice location is
8525 Rolling Rd, Suite 200, Manassas, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 257-2266.
Dr Deeni Bassam is licensed to practice in Virginia (license number 0101235901) 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 1356343594.
Physician's Profile
| Full Name | Dr Deeni Bassam |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 27 Years |
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| Location | 8525 Rolling Rd, Manassas, Virginia |
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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:
- Dr Deeni Bassam attended and graduated from University Of Virginia School Of Medicine in 1997
NPI Data:
- NPI Number: 1356343594
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 04/06/2011
Medicare PECOS Information:
- PECOS PAC ID: 6608778899
- Enrollment ID: I20050129000181
Medical Identifiers
Medical identifiers for Dr Deeni Bassam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356343594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 0101235901 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nova Advanced Pain Management Pllc | 8628020575 | 5 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
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. Dr Deeni Bassam allows following entities to bill medicare on his behalf.
| Entity Name | Nova Advanced Pain Management Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912023466
PECOS PAC ID: 8628020575
Enrollment ID: O20050228000217 |
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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. Dr Deeni Bassam 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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Dr Deeni Bassam, MD
Po Box 4600,
Manassas, VA 22030
Ph: (703) 257-2266 | Dr Deeni Bassam, MD
8525 Rolling Rd, Suite 200,
Manassas, VA 20110-3647
Ph: (703) 257-2266 |
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