Farnaz Nani Moazzam, MD - Medicare General Surgery in Peoria, IL

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Farnaz Nani Moazzam, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Peoria, Illinois. She went to Emory University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Mason Hospital District, Graham Hospital Association and her current practice location is 1001 Main St, Suite 300, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 495-0200.

Farnaz Nani Moazzam is licensed to practice in Illinois (license number 036101798) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487669735.

Contact Information

Farnaz Nani Moazzam, MD
1001 Main St, Suite 300,
Peoria, IL 61606-1907
(309) 495-0200
(309) 353-4380

Map and Direction




Physician's Profile

Full NameFarnaz Nani Moazzam
GenderFemale
SpecialityGeneral Surgery
Experience27 Years
Location1001 Main St, Peoria, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Farnaz Nani Moazzam attended and graduated from Emory University School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1487669735
  • Provider Enumeration Date: 07/29/2006
  • Last Update Date: 02/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1557410867
  • Enrollment ID: I20090515000410

Medical Identifiers

Medical identifiers for Farnaz Nani Moazzam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487669735NPI-NPPES
036101798MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 036101798 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Graham Hospital AssociationCanton, ILHospital
Mason District HospitalHavana, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mason Hospital District246636060733
Graham Hospital Association276937502195

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. Farnaz Nani Moazzam allows following entities to bill medicare on her behalf.
Entity NamePekin Prohealth Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932150299
PECOS PAC ID: 1951214576
Enrollment ID: O20031110000647
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameMason Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902849649
PECOS PAC ID: 2466360607
Enrollment ID: O20040412000399
Entity NameGraham Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780692087
PECOS PAC ID: 2769375021
Enrollment ID: O20040510000873
Entity NameSiebert Moazzam P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396780292
PECOS PAC ID: 2567511876
Enrollment ID: O20090515000361

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. Farnaz Nani Moazzam 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 AddressPractice Location Address
Farnaz Nani Moazzam, MD
600 S 13th St, # I,
Pekin, IL 61554-4936

Ph: (309) 495-0200		Farnaz Nani Moazzam, MD
1001 Main St, Suite 300,
Peoria, IL 61606-1907

Ph: (309) 495-0200

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Peoria, IL

Paul A Siebert, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Main St, Suite 300, Peoria, IL 61606
Phone: 309-495-0200    Fax: 309-353-4380
Dr. James Bertram Williams, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 2420 W Nebraska Ave, Peoria, IL 61604
Phone: 309-680-5000    Fax: 309-680-1002
Dr. Mark D Plunkett, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 420 Ne Glen Oak Ave Ste 301, Suite 301, Peoria, IL 61603
Phone: 309-655-3453    Fax: 309-624-3852

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.