Dr Mojabeng Phoofolo, MD in Portland, ME - Medicare Internal Medicine

Dr Mojabeng Phoofolo, MD is a medicare enrolled "Hospitalist" physician in Portland, Maine. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Salem Health and her current practice location is 22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (336) 407-2998.

Dr Mojabeng Phoofolo is licensed to practice in Oregon (license number 166875) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063790392.

Contact Information

	Dr Mojabeng Phoofolo, MD
	22 Bramhall St, Portland, ME 04102-3175
	(336) 407-2998
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mojabeng Phoofolo
Gender	Female
Speciality	Internal Medicine
Experience	26 Years
Location	22 Bramhall St, Portland, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mojabeng Phoofolo graduated from medical school in 1998

NPI Data:

NPI Number: 1063790392
Provider Enumeration Date: 08/03/2011
Last Update Date: 06/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5092987784
Enrollment ID: I20140606000256

Medical Identifiers

Medical identifiers for Dr Mojabeng Phoofolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063790392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	166875 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Salem Hospital	Salem, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Salem Health	8628986668	393

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 Mojabeng Phoofolo allows following entities to bill medicare on her behalf.

Entity Name	Salem Health West Valley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830

Entity Name	Salem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131

Entity Name	Salem Health Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027

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 Mojabeng Phoofolo 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 Mojabeng Phoofolo, MD 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-7068	Dr Mojabeng Phoofolo, MD 22 Bramhall St, Portland, ME 04102-3175 Ph: (336) 407-2998

Reviews and Comments

Hospitalist Doctors in Portland, ME

Karin M Doehne, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 211 Marginal Way, Portland, ME 04101 Phone: 207-544-9355
Elizabeth Clare Cummings, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111
Dr. Catherine Freeman, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618
Lisa Almeder, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Pavilion 1203, Portland, ME 04102 Phone: 207-662-4618 Fax: 207-662-6254
Mary C. Ottolini, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-6711 Fax: 207-662-6063
Dr. Lauren Nicole Boehm, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111

Dr Mojabeng Phoofolo, MD - Medicare Internal Medicine in Portland, ME