Emad Y Mousa, MD is a medicare enrolled "Obstetrics & Gynecology - Obstetrics" physician in Logan, West Virginia. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1003070194
- Provider Enumeration Date: 07/17/2008
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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