Dr Samaneh Davoudimoghaddam, MD in Renton, WA

Dr Samaneh Davoudimoghaddam, MD is a medicare enrolled "Ophthalmology" physician in Renton, Washington. Her current practice location is 4300 Talbot Rd S Ste 300, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 228-6262.

Dr Samaneh Davoudimoghaddam is licensed to practice in Washington (license number WA61387239) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073036612.

Contact Information

	Dr Samaneh Davoudimoghaddam, MD
	4300 Talbot Rd S Ste 300, Renton, WA 98055-6238
	(425) 228-6262
	(425) 228-6260

Map and Direction

Physician's Profile

Full Name	Dr Samaneh Davoudimoghaddam
Gender	Female
Speciality	Ophthalmology
Location	4300 Talbot Rd S Ste 300, Renton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073036612
Provider Enumeration Date: 07/25/2017
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 6204180078
Enrollment ID: I20230526001936

Medical Identifiers

Medical identifiers for Dr Samaneh Davoudimoghaddam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073036612	NPI	-	NPPES
2246367	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	WA61387239 (Washington)	Primary
207WX0107X	Ophthalmology - Retina Specialist	WA61387239 (Washington)	Secondary

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 Samaneh Davoudimoghaddam allows following entities to bill medicare on her behalf.

Entity Name	Retina Institute, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528303849 PECOS PAC ID: 9436302122 Enrollment ID: O20130108000006

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 Samaneh Davoudimoghaddam 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 Samaneh Davoudimoghaddam, MD 4300 Talbot Rd S Ste 300, Renton, WA 98055-6238 Ph: (425) 228-6262	Dr Samaneh Davoudimoghaddam, MD 4300 Talbot Rd S Ste 300, Renton, WA 98055-6238 Ph: (425) 228-6262

Reviews and Comments

Ophthalmology Doctors in Renton, WA

Mr. Jamison R Ridgeley, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1412 Sw 43rd St, Suite 206, Renton, WA 98057 Phone: 253-236-5720 Fax: 425-988-0168
George J Ko, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4300 Talbot Rd S, Suite 300, Renton, WA 98055 Phone: 425-228-6262 Fax: 425-228-6260
Michael D. Waxman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4300 Talbot Rd S Ste 300, Renton, WA 98055 Phone: 425-228-6260 Fax: 425-228-6262
Dr. Jeanne Y Cubanski, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3915 Talbot Rd S, Ste 100, Renton, WA 98055 Phone: 425-690-3415 Fax: 425-690-9003
Dr. Richard S. Dohoda, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3915 Talbot Rd S, Ste 100, Renton, WA 98055 Phone: 425-656-5345 Fax: 425-656-5349
Dr. Joseph Walter King, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 900 Sw 16th St Ste 200, Renton, WA 98057 Phone: 425-525-2206

Dr Samaneh Davoudimoghaddam, MD - Medicare Ophthalmology in Renton, WA