Michelle Mouri, DO in Colton, CA - Medicare Emergency Medicine

Michelle Mouri, DO is a medicare enrolled "Emergency Medicine" physician in Colton, California. Her current practice location is 400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-1000.

Michelle Mouri is licensed to practice in California (license number 20A10193) 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 1780853309.

Contact Information

	Michelle Mouri, DO
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Michelle Mouri
Gender	Female
Speciality	Emergency Medicine
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780853309
Provider Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008

Medicare PECOS Information:

PECOS PAC ID: 1850443078
Enrollment ID: I20090720000444

Medical Identifiers

Medical identifiers for Michelle Mouri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780853309	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	20A10193 (California)	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. Michelle Mouri allows following entities to bill medicare on her behalf.

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520

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. Michelle Mouri 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
Michelle Mouri, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: () -	Michelle Mouri, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000

Reviews and Comments

Emergency Medicine Doctors in Colton, CA

Eugene Lawrence Kwong, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400
Gregory M. Fenati, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 858-344-7049
Niluk Leon Senewiratne, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Dr. Vikram Raj, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 107, Colton, CA 92324 Phone: 909-580-1802
Robert Sexton Kollen, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400
Leigh Elizabeth Avera, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Kenneth Paul Takaki, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6370

Michelle Mouri, DO - Medicare Emergency Medicine in Colton, CA