Dr Mohammad Masoom Qureshi, MD is a medicare enrolled "Psychiatry & Neurology - Pain Medicine" physician in Haines City, Florida. He went to University Of Florida College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Integra Neuro Pain Institute Pa and his current practice location is
212 S Dixie Dr, Haines City, Florida. You can reach out to his office (for appointments etc.) via phone at
(863) 547-0788.
Dr Mohammad Masoom Qureshi is licensed to practice in Florida (license number ME126396) 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 1588002505.
Physician's Profile
| Full Name | Dr Mohammad Masoom Qureshi |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 12 Years |
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| Location | 212 S Dixie Dr, Haines City, Florida |
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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 Mohammad Masoom Qureshi attended and graduated from University Of Florida College Of Medicine in 2012
NPI Data:
- NPI Number: 1588002505
- Provider Enumeration Date: 06/12/2013
- Last Update Date: 01/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628357597
- Enrollment ID: I20170713002361
Medical Identifiers
Medical identifiers for Dr Mohammad Masoom Qureshi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588002505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P2900X | Psychiatry & Neurology - Pain Medicine | ME126396 (Florida) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | ME126396 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Integra Neuro Pain Institute Pa | 6103153416 | 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 Mohammad Masoom Qureshi allows following entities to bill medicare on his behalf.
| Entity Name | Integra Neuro Pain Institute Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881158939
PECOS PAC ID: 6103153416
Enrollment ID: O20191021001792 |
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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 Mohammad Masoom Qureshi 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 Mohammad Masoom Qureshi, MD
8297 Champions Gate Blvd # 463,
Champions Gate, FL 33896-8387
Ph: (863) 547-0788 | Dr Mohammad Masoom Qureshi, MD
212 S Dixie Dr,
Haines City, FL 33844-2801
Ph: (863) 547-0788 |
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