Mona Heravi, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bronx, New York. Her current practice location is
1400 Pelham Pkwy S, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 918-5000.
Mona Heravi is licensed to practice in * (Not Available) (license number ) 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 1447712591.
Physician's Profile
Full Name | Mona Heravi |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1400 Pelham Pkwy S, Bronx, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447712591
- Provider Enumeration Date: 04/05/2019
- Last Update Date: 12/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476922568
- Enrollment ID: I20230112002019
Medical Identifiers
Medical identifiers for Mona Heravi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447712591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 13029319-1205 (Utah) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mona Heravi allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
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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. Mona Heravi 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 |
Mona Heravi, MD 1400 Pelham Pkwy S, Bronx, NY 10461-1197 Ph: () - | Mona Heravi, MD 1400 Pelham Pkwy S, Bronx, NY 10461-1197 Ph: (718) 918-5000 |
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