Moutasem Abaza, MD is a medicare enrolled "Dermatology" physician in Diamond Bar, California. He graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermesurge Inc, La Laser Center Pc A Professional Medical Corporation and his current practice location is
1111 Grand Ave Ste K, Diamond Bar, California. You can reach out to his office (for appointments etc.) via phone at
(098) 604-2549.
Moutasem Abaza is licensed to practice in California (license number A86393) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831148501.
Physician's Profile
| Full Name | Moutasem Abaza |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 32 Years |
|---|
| Location | 1111 Grand Ave Ste K, Diamond Bar, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Moutasem Abaza graduated from medical school in 1993
NPI Data:
- NPI Number: 1831148501
- Provider Enumeration Date: 05/09/2006
- Last Update Date: 09/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436122488
- Enrollment ID: I20051223000167
Medical Identifiers
Medical identifiers for Moutasem Abaza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831148501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A86393 (California) | Secondary |
| 207N00000X | Dermatology | A86393 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dermesurge Inc | 0941601934 | 2 |
| La Laser Center Pc A Professional Medical Corporation | 9537181185 | 66 |
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. Moutasem Abaza allows following entities to bill medicare on his behalf.
| Entity Name | La Laser Center Pc A Professional Medical Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1306982855
PECOS PAC ID: 9537181185
Enrollment ID: O20051222000459 |
|---|
| Entity Name | Dermesurge Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1538743752
PECOS PAC ID: 0941601934
Enrollment ID: O20210628003569 |
|---|
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. Moutasem Abaza 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 |
|---|
Moutasem Abaza, MD
1111 Grand Ave Ste K,
Diamond Bar, CA 91765-4172
Ph: (098) 604-2549 | Moutasem Abaza, MD
1111 Grand Ave Ste K,
Diamond Bar, CA 91765-4172
Ph: (098) 604-2549 |
Reviews and Comments