Dr Mariam S Moghadam, MD in Colton, CA - Medicare Family Medicine

Dr Mariam S Moghadam, MD is a medicare enrolled "Family Medicine" physician in Colton, California. Her current practice location is 1181 N Mount Vernon Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 498-2356.

Dr Mariam S Moghadam is licensed to practice in California (license number A86456) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396758942.

Contact Information

	Dr Mariam S Moghadam, MD
	1181 N Mount Vernon Ave, Colton, CA 92324-2574
	(909) 498-2356
	(877) 824-9080

Map and Direction

Physician's Profile

Full Name	Dr Mariam S Moghadam
Gender	Female
Speciality	Family Medicine
Location	1181 N Mount Vernon Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396758942
Provider Enumeration Date: 08/14/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6709848294
Enrollment ID: I20041027000881

Medical Identifiers

Medical identifiers for Dr Mariam S Moghadam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396758942	NPI	-	NPPES
P01288539/DU5182	Other	CA	RAILROAD MEDICARE-COLTON
P01288539/DU4034	Other	CA	RAILROAD MEDICARE-RIALTO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A86456 (California)	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 Mariam S Moghadam allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Clearlake Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573

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 Mariam S Moghadam 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 Mariam S Moghadam, MD 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (909) 498-2356	Dr Mariam S Moghadam, MD 1181 N Mount Vernon Ave, Colton, CA 92324-2574 Ph: (909) 498-2356

Reviews and Comments

Family Medicine Doctors in Colton, CA

Carolyn M Doherty, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Mob Suite 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363
Dr. Febbis Balinos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Arrowhead Family Medical Group, Colton, CA 92324 Phone: 909-580-3370
Carol Hyeun Lee, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400
Ms. Heather Bohn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper, Colton, CA 92324 Phone: 909-580-3366 Fax: 909-580-3332
Christina Sugirtharaj, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3366
Dr. Ryan Bradley Estacio Ortizo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 E Cooley Dr, Colton, CA 92324 Phone: 909-370-4100
James Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Arrowhead Regional Medical Center, 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-6240 Fax: 909-580-6308

Dr Mariam S Moghadam, MD - Medicare Family Medicine in Colton, CA