Mr Moazam Jah Samdani, MD in Watertown, WI - Medicare Internal Medicine

Mr Moazam Jah Samdani, MD is a medicare enrolled "Internal Medicine" physician in Watertown, Wisconsin. His current practice location is 123 Hospital Dr, Suite 2009, Watertown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 262-9833.

Mr Moazam Jah Samdani is licensed to practice in Wisconsin (license number 19713) 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 1083694350.

Contact Information

	Mr Moazam Jah Samdani, MD
	123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331
	(920) 262-9833
	(920) 262-9834

Map and Direction

Physician's Profile

Full Name	Mr Moazam Jah Samdani
Gender	Male
Speciality	Internal Medicine
Location	123 Hospital Dr, Watertown, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083694350
Provider Enumeration Date: 01/20/2006
Last Update Date: 08/30/2013

Medicare PECOS Information:

PECOS PAC ID: 0840326575
Enrollment ID: I20100331001203

Medical Identifiers

Medical identifiers for Mr Moazam Jah Samdani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083694350	NPI	-	NPPES
1000279	Other	WI	PHYSICIAN PLUS
80	Other	WI	DEAN HEALTH PLAN
31092300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	19713 (Wisconsin)	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. Mr Moazam Jah Samdani allows following entities to bill medicare on his behalf.

Entity Name	Watertown Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114

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 Moazam Jah Samdani 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 Moazam Jah Samdani, MD 123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331 Ph: (920) 262-9833	Mr Moazam Jah Samdani, MD 123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331 Ph: (920) 262-9833

Reviews and Comments

Internal Medicine Doctors in Watertown, WI

Edward Fairfax Frost, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094 Phone: 262-928-5100
Dr. Zachary Richardson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-245-5741
Mohamed H Yafai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Drive, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834
Alan L. Detwiler, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4210

Mr Moazam Jah Samdani, MD - Medicare Internal Medicine in Watertown, WI