Dr Mehrak Moaddab, MD, MPH in Worcester, MA

Dr Mehrak Moaddab, MD, MPH is a medicare enrolled "Anesthesiology" physician in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 334-3271.

Dr Mehrak Moaddab is licensed to practice in Massachusetts (license number 295432) 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 1649760018.

Contact Information

	Dr Mehrak Moaddab, MD, MPH
	55 Lake Ave N, Worcester, MA 01655-0002
	(508) 334-3271
	(508) 856-5911

Map and Direction

Physician's Profile

Full Name	Dr Mehrak Moaddab
Gender	Female
Speciality	Anesthesiology
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649760018
Provider Enumeration Date: 05/11/2018
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2466821665
Enrollment ID: I20221209002471

Medical Identifiers

Medical identifiers for Dr Mehrak Moaddab such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649760018	NPI	-	NPPES
110179413A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LC0200X	Anesthesiology - Critical Care Medicine	295432 (Massachusetts)	Secondary
207L00000X	Anesthesiology	295432 (Massachusetts)	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 Mehrak Moaddab allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093756629 PECOS PAC ID: 4486567104 Enrollment ID: O20040315000395

Entity Name	Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015

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 Mehrak Moaddab 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 Mehrak Moaddab, MD, MPH Po Box 415348, Boston, MA 02241-5348 Ph: () -	Dr Mehrak Moaddab, MD, MPH 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3271

Reviews and Comments

Anesthesiology Doctors in Worcester, MA

Layla Fakhrzadeh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911
Yoonyie Cho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Ashley E Gabrielsen, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Dr. Sergio Zendejas, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 Fax: 508-334-8235
Antranig Kalaydjian, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St Ste 370, Worcester, MA 01608 Phone: 508-964-5580 Fax: 508-368-3143
James Savage Iv, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Sudershan Singla, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Department Of Anesthesiology, Worcester, MA 01605 Phone: 508-334-5897 Fax: 508-334-5179

Dr Mehrak Moaddab, MD, MPH - Medicare Anesthesiology in Worcester, MA