Dr Mazen Hashisho, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Garden Grove, California. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Monterey Bay Vascular, Inc and his current practice location is
12555 Garden Grove Blvd Ste 403, Garden Grove, California. You can reach out to his office (for appointments etc.) via phone at
(562) 506-0176.
Dr Mazen Hashisho is licensed to practice in California (license number A94329) 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 1255524427.
Physician's Profile
| Full Name | Dr Mazen Hashisho |
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| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 27 Years |
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| Location | 12555 Garden Grove Blvd Ste 403, Garden Grove, California |
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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 Mazen Hashisho graduated from medical school in 1998
NPI Data:
- NPI Number: 1255524427
- Provider Enumeration Date: 08/21/2007
- Last Update Date: 06/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173671906
- Enrollment ID: I20130522000721
Medical Identifiers
Medical identifiers for Dr Mazen Hashisho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255524427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0129X | Surgery - Vascular Surgery | A94329 (California) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | MD441265 (Pennsylvania) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 002845 (New York) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A94329 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Monterey Bay Vascular, Inc | 3779970249 | 2 |
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 Mazen Hashisho allows following entities to bill medicare on his behalf.
| Entity Name | County Of Monterey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205863255
PECOS PAC ID: 2466345632
Enrollment ID: O20050502000456 |
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| Entity Name | Monterey Bay Vascular, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689326225
PECOS PAC ID: 3779970249
Enrollment ID: O20220502001526 |
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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 Mazen Hashisho 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 Mazen Hashisho, MD
5150 E Pacific Coast Hwy Ste 500,
Long Beach, CA 90804-3328
Ph: (562) 299-5200 | Dr Mazen Hashisho, MD
12555 Garden Grove Blvd Ste 403,
Garden Grove, CA 92843-1903
Ph: (562) 506-0176 |
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