Mahmoud Zeidan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Pontiac, Michigan. His current practice location is
50 N Perry St, Pontiac, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 338-5392.
Mahmoud Zeidan is licensed to practice in Michigan (license number ) 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 1124762596.
Physician's Profile
Full Name | Mahmoud Zeidan |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 50 N Perry St, Pontiac, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124762596
- Provider Enumeration Date: 04/22/2022
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113396953
- Enrollment ID: I20221216002318
Medical Identifiers
Medical identifiers for Mahmoud Zeidan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124762596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 4301510742 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | 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. Mahmoud Zeidan 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 |
Mahmoud Zeidan, MD 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5392 | Mahmoud Zeidan, MD 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5392 |
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