Dr Mesum Moosavi, MD is a medicare enrolled "General Practice" physician in Hawthorne, New Jersey. His current practice location is
290 Lafayette Ave, Hawthorne, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 266-0445.
Dr Mesum Moosavi is licensed to practice in New Jersey (license number 25MA10937100) 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 1841630191.
Physician's Profile
Full Name | Dr Mesum Moosavi |
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Gender | Male |
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Speciality | General Practice |
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Location | 290 Lafayette Ave, Hawthorne, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841630191
- Provider Enumeration Date: 07/01/2013
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789045873
- Enrollment ID: I20230807000044
Medical Identifiers
Medical identifiers for Dr Mesum Moosavi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841630191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | R73958 (Arizona) | Secondary |
208D00000X | General Practice | 25MA10937100 (New Jersey) | 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 Mesum Moosavi allows following entities to bill medicare on his behalf.
Entity Name | Wound Healing Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932585445 PECOS PAC ID: 2668789116 Enrollment ID: O20150915003096 |
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Entity Name | Medassist Usa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982211439 PECOS PAC ID: 7810308996 Enrollment ID: O20201120000844 |
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Entity Name | Medassist Nj Ii |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336928407 PECOS PAC ID: 1557717428 Enrollment ID: O20231029000065 |
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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 Mesum Moosavi 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 Mesum Moosavi, MD 830 Morris Tpke Fl 4, Short Hills, NJ 07078-2625 Ph: () - | Dr Mesum Moosavi, MD 290 Lafayette Ave, Hawthorne, NJ 07506-1961 Ph: (856) 266-0445 |
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