Momen M Ismail, MD in Brooklyn, NY - Medicare General Practice

Momen M Ismail, MD is a medicare enrolled "General Practice" physician in Brooklyn, New York. His current practice location is 420 64th St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 630-1310.

Momen M Ismail is licensed to practice in New York (license number 326726) 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 1609496165.

Contact Information

	Momen M Ismail, MD
	420 64th St, Brooklyn, NY 11220-4900
	(718) 630-1310
	Not Available

Map and Direction

Physician's Profile

Full Name	Momen M Ismail
Gender	Male
Speciality	General Practice
Location	420 64th St, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609496165
Provider Enumeration Date: 04/24/2020
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1850833211
Enrollment ID: I20240613000126

Medical Identifiers

Medical identifiers for Momen M Ismail such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609496165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	326726 (New York)	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. Momen M Ismail allows following entities to bill medicare on his behalf.

Entity Name	Mind Wellness Professional Psychiatric Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265671184 PECOS PAC ID: 3375609258 Enrollment ID: O20090228000039

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. Momen M Ismail 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
Momen M Ismail, MD 420 64th St, Brooklyn, NY 11220-4900 Ph: (718) 630-1310	Momen M Ismail, MD 420 64th St, Brooklyn, NY 11220-4900 Ph: (718) 630-1310

Reviews and Comments

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Momen M Ismail, MD - Medicare General Practice in Brooklyn, NY