Emad Y Mousa, MD is a medicare enrolled "Obstetrics & Gynecology - Obstetrics" physician in Logan, West Virginia. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is
77 Hospital Dr Ste 200, Logan, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 896-5200.
Emad Y Mousa is licensed to practice in West Virginia (license number 24508) 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 1003070194.
Physician's Profile
| Full Name | Emad Y Mousa |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 27 Years |
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| Location | 77 Hospital Dr Ste 200, Logan, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emad Y Mousa graduated from medical school in 1997
NPI Data:
- NPI Number: 1003070194
- Provider Enumeration Date: 07/17/2008
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 0244390714
- Enrollment ID: I20081114000078
Medical Identifiers
Medical identifiers for Emad Y Mousa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003070194 | NPI | - | NPPES |
| 1003070194 | Other | WV | WV MEDICARE |
| 1003070194 | Medicaid | WV | |
| 11865318 | Other | OH | CAQH |
| 2873029 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 24508 (West Virginia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 35092078 (Ohio) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 24508 (West Virginia) | Primary |
Medical Facilities Affiliation
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. Emad Y Mousa allows following entities to bill medicare on his behalf.
| Entity Name | Alpha Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265893549
PECOS PAC ID: 0941573570
Enrollment ID: O20170901002812 |
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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. Emad Y Mousa 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 |
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Emad Y Mousa, MD
Po Box 119,
Logan, WV 25601
Ph: (304) 896-5200 | Emad Y Mousa, MD
77 Hospital Dr Ste 200,
Logan, WV 25601-3451
Ph: (304) 896-5200 |
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