Maryam Moinfar, MD is a medicare enrolled "Dermatology" physician in Dana Point, California. She went to Northwestern University Feinberg Medical School and graduated in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Advanced Dermatology Inc. and her current practice location is
34213 Pacific Coast Hwy, Suite A, Dana Point, California. You can reach out to her office (for appointments etc.) via phone at
(952) 240-2827.
Maryam Moinfar is licensed to practice in California (license number A92449) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376515403.
Physician's Profile
Full Name | Maryam Moinfar |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 23 Years |
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Location | 34213 Pacific Coast Hwy, Dana Point, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Maryam Moinfar attended and graduated from Northwestern University Feinberg Medical School in 2001
NPI Data:
- NPI Number: 1376515403
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 01/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 6204855547
- Enrollment ID: I20051116000603
Medical Identifiers
Medical identifiers for Maryam Moinfar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376515403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | A92449 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advanced Dermatology Inc. | 0749282648 | 4 |
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 Moinfar allows following entities to bill medicare on her behalf.
Entity Name | Advanced Dermatology Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336220540 PECOS PAC ID: 0749282648 Enrollment ID: O20070206000339 |
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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 Moinfar 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 |
Maryam Moinfar, MD 34213 Pacific Coast Hwy, Dana Point, CA 92629-2875 Ph: (952) 240-2827 | Maryam Moinfar, MD 34213 Pacific Coast Hwy, Suite A, Dana Point, CA 92629-2875 Ph: (952) 240-2827 |
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