Mr Martin M Pourkesali, DO is a medicare enrolled "Ophthalmology" physician in Palm Coast, Florida. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
28 Office Park Drive, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 246-6289.
Mr Martin M Pourkesali is licensed to practice in Florida (license number 0S8658) 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 1023067196.
Physician's Profile
Full Name | Mr Martin M Pourkesali |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 27 Years |
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Location | 28 Office Park Drive, Palm Coast, Florida |
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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:
- Mr Martin M Pourkesali graduated from medical school in 1997
NPI Data:
- NPI Number: 1023067196
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 01/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 0941230320
- Enrollment ID: I20050816000370
Medical Identifiers
Medical identifiers for Mr Martin M Pourkesali such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023067196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 0S8658 (Florida) | Primary |
208600000X | Surgery | 0S8658 (Florida) | Secondary |
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. Mr Martin M Pourkesali allows following entities to bill medicare on his behalf.
Entity Name | James P Powers D.o., P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376596551 PECOS PAC ID: 3173598299 Enrollment ID: O20040831001389 |
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Entity Name | Pourkesali Enterprises Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326478652 PECOS PAC ID: 6103053418 Enrollment ID: O20131212000371 |
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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. Mr Martin M Pourkesali 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 |
Mr Martin M Pourkesali, DO 28 Office Park Drive, Palm Coast, FL 32137 Ph: (386) 246-6289 | Mr Martin M Pourkesali, DO 28 Office Park Drive, Palm Coast, FL 32137 Ph: (386) 246-6289 |
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