Hosam Moustafa, MD in Fullerton, CA

Hosam Moustafa, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fullerton, California. His current practice location is 301 W Bastanchury Rd Ste 130, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 278-9363.

Hosam Moustafa is licensed to practice in California (license number A71010) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760418149.

Contact Information

	Hosam Moustafa, MD
	301 W Bastanchury Rd Ste 130, Fullerton, CA 92835-3423
	(714) 278-9363
	(714) 278-9364

Map and Direction

Physician's Profile

Full Name	Hosam Moustafa
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	301 W Bastanchury Rd Ste 130, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760418149
Provider Enumeration Date: 06/25/2006
Last Update Date: 07/30/2008

Medicare PECOS Information:

PECOS PAC ID: 6901700830
Enrollment ID: I20031217000309

Medical Identifiers

Medical identifiers for Hosam Moustafa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760418149	NPI	-	NPPES
00A710100	Medicaid	CA
00A710100	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A71010 (California)	Primary

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. Hosam Moustafa allows following entities to bill medicare on his behalf.

Entity Name	Memorialcare Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219

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. Hosam Moustafa 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
Hosam Moustafa, MD 301 W Bastanchury Rd Ste 130, Fullerton, CA 92835-3423 Ph: (714) 278-9363	Hosam Moustafa, MD 301 W Bastanchury Rd Ste 130, Fullerton, CA 92835-3423 Ph: (714) 278-9363

Reviews and Comments

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Hosam Moustafa, MD - Medicare Radiology in Fullerton, CA