Hassan Sheikh Moghaddas, MD is a medicare enrolled "Surgery" physician in Clearlake, California. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Adventist Health Clearlake Hospital Inc. and his current practice location is
15332 Lakeshore Dr Ste 101, Clearlake, California. You can reach out to his office (for appointments etc.) via phone at
(707) 461-7986.
Hassan Sheikh Moghaddas is licensed to practice in California (license number A142083) 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 1124469838.
Physician's Profile
Full Name | Hassan Sheikh Moghaddas |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 13 Years |
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Location | 15332 Lakeshore Dr Ste 101, Clearlake, California |
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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. |
Medical Education and Training:
- Hassan Sheikh Moghaddas graduated from medical school in 2011
NPI Data:
- NPI Number: 1124469838
- Provider Enumeration Date: 07/10/2013
- Last Update Date: 06/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 0244451078
- Enrollment ID: I20180719001665
Medical Identifiers
Medical identifiers for Hassan Sheikh Moghaddas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124469838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MT207360 (Pennsylvania) | Secondary |
208600000X | Surgery | A142083 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Adventist Health Clearlake Hospital Inc. | 3072421197 | 81 |
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. Hassan Sheikh Moghaddas allows following entities to bill medicare on his behalf.
Entity Name | Adventist Health Clearlake Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
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Entity Name | Adventist Health Physicians Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
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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. Hassan Sheikh Moghaddas 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 |
Hassan Sheikh Moghaddas, MD 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422-9761 Ph: () - | Hassan Sheikh Moghaddas, MD 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 Ph: (707) 461-7986 |
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