Maryam Mohammad Zadeh, NP is a medicare enrolled "Nurse Practitioner" physician in Washington, District Of Columbia. Her current practice location is
1310 Southern Ave Se, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at
(202) 741-2302.
Maryam Mohammad Zadeh is licensed to practice in Maryland (license number AC001744) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134557671.
Physician's Profile
| Full Name | Maryam Mohammad Zadeh |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1310 Southern Ave Se, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134557671
- Provider Enumeration Date: 10/18/2013
- Last Update Date: 04/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 9335372200
- Enrollment ID: I20160408001586
Medical Identifiers
Medical identifiers for Maryam Mohammad Zadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134557671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | AC001744 (Maryland) | Secondary |
| 363L00000X | Nurse Practitioner | RN1049834 (District Of Columbia) | Secondary |
| 363L00000X | Nurse Practitioner | AC001744 (Maryland) | 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. Maryam Mohammad Zadeh allows following entities to bill medicare on her behalf.
| Entity Name | Gaffar A Syed, Md, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720308398
PECOS PAC ID: 3375674773
Enrollment ID: O20100629000552 |
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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. Maryam Mohammad Zadeh 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 |
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Maryam Mohammad Zadeh, NP
400 W 7th St,
Frederick, MD 21701-4506
Ph: (240) 566-3300 | Maryam Mohammad Zadeh, NP
1310 Southern Ave Se,
Washington, DC 20032-4623
Ph: (202) 741-2302 |
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