Mohiuddin Waseem, MD is a medicare enrolled "Internal Medicine" physician in Galt, California. His current practice location is
387 Civic Dr, Galt, California. You can reach out to his office (for appointments etc.) via phone at
(209) 745-8080.
Mohiuddin Waseem is licensed to practice in California (license number C52567) 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 1669527594.
Physician's Profile
| Full Name | Mohiuddin Waseem |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 387 Civic Dr, Galt, California |
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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: 1669527594
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 05/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 3971529389
- Enrollment ID: I20091021000823
Medical Identifiers
Medical identifiers for Mohiuddin Waseem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669527594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | C52567 (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. Mohiuddin Waseem allows following entities to bill medicare on his behalf.
| Entity Name | Lodi Memorial Hospital Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861649352
PECOS PAC ID: 7618880717
Enrollment ID: O20050517000577 |
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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. Mohiuddin Waseem 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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Mohiuddin Waseem, MD
Po Box 241011,
Lodi, CA 95241-9511
Ph: (209) 339-7435 | Mohiuddin Waseem, MD
387 Civic Dr,
Galt, CA 95632-2059
Ph: (209) 745-8080 |
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