Dr Omar W Jassim, MD, PHD in Wentzville, MO

Dr Omar W Jassim, MD, PHD is a medicare enrolled "Dermatology" physician in Wentzville, Missouri. His current practice location is 1060 Meyer Rd, Wentzville, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 230-1500.

Dr Omar W Jassim is licensed to practice in Missouri (license number 2010011911) 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 1649397415.

Contact Information

	Dr Omar W Jassim, MD, PHD
	1060 Meyer Rd, Wentzville, MO 63385-3800
	(314) 230-1500
	(314) 230-1122

Map and Direction

Physician's Profile

Full Name	Dr Omar W Jassim
Gender	Male
Speciality	Dermatology
Location	1060 Meyer Rd, Wentzville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649397415
Provider Enumeration Date: 03/24/2007
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6901093426
Enrollment ID: I20101209001222

Medical Identifiers

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

Identifier	Type	State	Issuer
1649397415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	2010011911 (Missouri)	Secondary
207ND0900X	Dermatology - Dermatopathology	2010011911 (Missouri)	Secondary
207N00000X	Dermatology	2010011911 (Missouri)	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 Omar W Jassim allows following entities to bill medicare on his behalf.

Entity Name	Yoon Dermatology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811510886 PECOS PAC ID: 5799101465 Enrollment ID: O20200812003384

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 W Jassim 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 W Jassim, MD, PHD 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: (314) 230-1500	Dr Omar W Jassim, MD, PHD 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: (314) 230-1500

Reviews and Comments

Dermatology Doctors in Wentzville, MO

Brenley Deters, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500
Jaeyoung Yoon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122
Dr. Lindsey Graviett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122
Dr. Kyle J Eash, M.D. PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1603 Wentzville Pkwy Ste 123, Wentzville, MO 63385 Phone: 636-695-0300 Fax: 636-695-0301
Stacy Gittel Blum, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122

Dr Omar W Jassim, MD, PHD - Medicare Dermatology in Wentzville, MO