Mark Mounir Halim, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fontana, California. His current practice location is
17234 Valley Blvd., Bldg. A, Fontana, California. You can reach out to his office (for appointments etc.) via phone at
(661) 998-0424.
Mark Mounir Halim is licensed to practice in * (Not Available) (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 1558998542.
Physician's Profile
Full Name | Mark Mounir Halim |
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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 | 17234 Valley Blvd., Fontana, California |
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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: 1558998542
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628467347
- Enrollment ID: I20230728002171
Medical Identifiers
Medical identifiers for Mark Mounir Halim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558998542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | A177063 (California) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A177063 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mark Mounir Halim allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Mark Mounir Halim 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 |
Mark Mounir Halim, 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 Ph: () - | Mark Mounir Halim, 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 Ph: (661) 998-0424 |
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