Dr Omar Ezziddin, MD in Springfield, MA

Dr Omar Ezziddin, MD is a medicare enrolled "Anesthesiology" physician in Springfield, Massachusetts. He went to Ohio State University College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Pulse Anesthesia Consultants Pc, Connecticut Gi Pc and his current practice location is 908 Allen St, Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 796-7494.

Dr Omar Ezziddin is licensed to practice in Illinois (license number 036131711) 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 1821232901.

Contact Information

	Dr Omar Ezziddin, MD
	908 Allen St, Springfield, MA 01118-2533
	(413) 796-7494
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Omar Ezziddin
Gender	Male
Speciality	Anesthesiology
Experience	15 Years
Location	908 Allen St, Springfield, Massachusetts
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 Omar Ezziddin attended and graduated from Ohio State University College Of Medicine in 2009

NPI Data:

NPI Number: 1821232901
Provider Enumeration Date: 04/21/2009
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2567688989
Enrollment ID: I20140721001804

Medical Identifiers

Medical identifiers for Dr Omar Ezziddin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821232901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	036131711 (Illinois)	Primary
207LP3000X	Anesthesiology - Pediatric Anesthesiology	036131711 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pulse Anesthesia Consultants Pc	8921479809	9
Connecticut Gi Pc	9830110758	192

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 Omar Ezziddin allows following entities to bill medicare on his 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	Springfield Anesthesia Service Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768830 PECOS PAC ID: 0345228011 Enrollment ID: O20040709000365

Entity Name	Pioneer Sedation Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154886810 PECOS PAC ID: 8729320239 Enrollment ID: O20190503000018

Entity Name	Pulse Anesthesia Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407560618 PECOS PAC ID: 8921479809 Enrollment ID: O20230201001698

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 Omar Ezziddin 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 Omar Ezziddin, MD 908 Allen St, Springfield, MA 01118-2533 Ph: () -	Dr Omar Ezziddin, MD 908 Allen St, Springfield, MA 01118-2533 Ph: (413) 796-7494

Reviews and Comments

Anesthesiology Doctors in Springfield, MA

Dr. Mohamed Ehab Ramadan Mohamed Ramadan, MBBCH, MSC, PHD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1350 Main St Ste 1300, Springfield, MA 01103 Phone: 917-900-5056
Poornachandran Manikantan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1350 Main St Ste 1300, Springfield, MA 01103 Phone: 413-796-7494 Fax: 413-796-7498
Ghassan Ali Aljafar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 Wason Ave Fl 2, Springfield, MA 01107 Phone: 413-794-1800
Andrew Gainski, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7498
Dr. Peter A Vieira, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7498
Dr. Christopher Conron Dow, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 908 Allen St, Springfield Anesthesia Service, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7497
Lakshmi Yalavarthy, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494

Dr Omar Ezziddin, MD - Medicare Anesthesiology in Springfield, MA