Dr Mustapha Ahmad Ezzeddine, MD in Winston Salem, NC

Dr Mustapha Ahmad Ezzeddine, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Winston Salem, North Carolina. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Wake Forest University Health Sciences and his current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2255.

Dr Mustapha Ahmad Ezzeddine is licensed to practice in North Carolina (license number 2019-02683) 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 1972534667.

Contact Information

	Dr Mustapha Ahmad Ezzeddine, MD
	Medical Center Blvd, Winston Salem, NC 27157-0356
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mustapha Ahmad Ezzeddine
Gender	Male
Speciality	Neurology
Experience	31 Years
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mustapha Ahmad Ezzeddine graduated from medical school in 1993

NPI Data:

NPI Number: 1972534667
Provider Enumeration Date: 07/05/2006
Last Update Date: 11/11/2019

Medicare PECOS Information:

PECOS PAC ID: 3678594744
Enrollment ID: I20191216002752

Medical Identifiers

Medical identifiers for Dr Mustapha Ahmad Ezzeddine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972534667	NPI	-	NPPES
0097284	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	49900 (Minnesota)	Secondary
2084V0102X	Psychiatry & Neurology - Vascular Neurology	49900 (Minnesota)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2019-02683 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Carolina Baptist Hospital	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2048

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 Mustapha Ahmad Ezzeddine allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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 Mustapha Ahmad Ezzeddine 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 Mustapha Ahmad Ezzeddine, MD 420 Delaware St Se, Mmc 295, Minneapolis, MN 55455-0341 Ph: (612) 625-9900	Dr Mustapha Ahmad Ezzeddine, MD Medical Center Blvd, Winston Salem, NC 27157-0356 Ph: (336) 716-2255

Reviews and Comments

Psychiatry & Neurology Doctors in Winston Salem, NC

William Tyler Cecil, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Department Of Psychiatry, 791 Jonestown Road, Winston Salem, NC 27103 Phone: 336-716-4551 Fax: 336-716-9642
Dr. James Dwight Mattox Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2990 Bethesda Pl, Suite 602 A, Winston Salem, NC 27103 Phone: 336-768-8281 Fax: 336-768-5685
Dr. Kenneth John Detrick, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 190 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-768-3296
Eugene Mindel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Aarti Sarwal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 716-336-9016
Scott Saucedo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7224 Fax: 336-718-7598
Nancy S Gaby, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3000 Bethesda Place, Ste 101, Winston Salem, NC 27103 Phone: 336-765-9750 Fax: 336-765-9710

Dr Mustapha Ahmad Ezzeddine, MD - Medicare Neurology in Winston Salem, NC