Kevan John Mamdouhi, MD in Burlington, MA - Medicare Emergency Medicine

Kevan John Mamdouhi, MD is a medicare enrolled "Emergency Medicine" physician in Burlington, Massachusetts. He went to New York Medical College and graduated in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Umass Memorial Medical Group Inc and his current practice location is 41 Mall Rd, Burlington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 744-8000.

Kevan John Mamdouhi is licensed to practice in Massachusetts (license number 290694) 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 1013477512.

Contact Information

	Kevan John Mamdouhi, MD
	41 Mall Rd, Burlington, MA 01805-0002
	(781) 744-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevan John Mamdouhi
Gender	Male
Speciality	Emergency Medicine
Experience	5 Years
Location	41 Mall Rd, Burlington, Massachusetts
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:

Kevan John Mamdouhi attended and graduated from New York Medical College in 2019

NPI Data:

NPI Number: 1013477512
Provider Enumeration Date: 03/21/2019
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1153657408
Enrollment ID: I20220621000654

Medical Identifiers

Medical identifiers for Kevan John Mamdouhi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013477512	NPI	-	NPPES
110153881A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PT0002X	Emergency Medicine - Medical Toxicology	290694 (Massachusetts)	Secondary
207P00000X	Emergency Medicine	290694 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Umass Memorial Medical Center/university Campus	Worcester, MA	Hospital
Umass Memorial Healthcare-marlborough Hospital	Marlborough, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Umass Memorial Medical Group Inc	4284539891	1898

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. Kevan John Mamdouhi allows following entities to bill medicare on his behalf.

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269

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. Kevan John Mamdouhi 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
Kevan John Mamdouhi, MD Po Box 415348, Boston, MA 02241-5348 Ph: () -	Kevan John Mamdouhi, MD 41 Mall Rd, Burlington, MA 01805-0002 Ph: (781) 744-8000

Reviews and Comments

Emergency Medicine Doctors in Burlington, MA

Dr. Thomas M Brand, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5659
Mr. Paul Dennis Jondro, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8100
Soumya Ganapathy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000
Malcolm A Creighton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-5100 Fax: 781-744-5659
Shailendra Kumar Singh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000
James J D'urso, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 978-538-4707

Kevan John Mamdouhi, MD - Medicare Emergency Medicine in Burlington, MA