Dr Koorosh D Khorram, MD is a medicare enrolled "Ophthalmology" physician in Saipan, Northern Mariana Islands. His current practice location is
503900 Mooty 13 Fishermen Beachroad, Garapan, Saipan, Northern Mariana Islands. You can reach out to his office (for appointments etc.) via phone at
(670) 235-9090.
Dr Koorosh D Khorram is licensed to practice in Northern Mariana Islands (license number 0102) 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 1902960644.
Physician's Profile
| Full Name | Dr Koorosh D Khorram |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 503900 Mooty 13 Fishermen Beachroad, Garapan, Saipan, Northern Mariana Islands |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1902960644
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 3274422043
- Enrollment ID: I20051018000593
Medical Identifiers
Medical identifiers for Dr Koorosh D Khorram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902960644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 0102 (Northern Mariana Islands) | 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. Dr Koorosh D Khorram allows following entities to bill medicare on his behalf.
| Entity Name | Marianas Eye Institute Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1023168010
PECOS PAC ID: 1052200821
Enrollment ID: O20040311000670 |
|---|
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 Koorosh D Khorram 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 |
|---|
Dr Koorosh D Khorram, MD
Po Box 503900,
Saipan, MP 96950-3900
Ph: (670) 235-9090 | Dr Koorosh D Khorram, MD
503900 Mooty 13 Fishermen Beachroad, Garapan,
Saipan, MP 96950-3900
Ph: (670) 235-9090 |
Reviews and Comments