Mr Parham Mora, MD is a medicare enrolled "Surgery" physician in Prattville, Alabama. His current practice location is
645 Mcqueen Smith Rd N, Suite 205, Prattville, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 361-6126.
Mr Parham Mora is licensed to practice in Alabama (license number 20392) 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 1417915679.
Physician's Profile
Full Name | Mr Parham Mora |
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Gender | Male |
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Speciality | Surgery |
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Location | 645 Mcqueen Smith Rd N, Prattville, Alabama |
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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: 1417915679
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 08/10/2009
Medicare PECOS Information:
- PECOS PAC ID: 7214074061
- Enrollment ID: I20091027000581
Medical Identifiers
Medical identifiers for Mr Parham Mora such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417915679 | NPI | - | NPPES |
529909730 | Medicaid | AL | |
51501010 | Other | AL | BLUE CROSS I.D. |
020048725 | Other | AL | RAILROAD MEDICARE I.D. |
051501010 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 20392 (Alabama) | 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 Parham Mora allows following entities to bill medicare on his behalf.
Entity Name | Jackson Hospital And Clinic, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971 |
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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 Parham Mora 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 Parham Mora, MD 645 Mcqueen Smith Rd N, Suite 205, Prattville, AL 36066-7268 Ph: (334) 361-6126 | Mr Parham Mora, MD 645 Mcqueen Smith Rd N, Suite 205, Prattville, AL 36066-7268 Ph: (334) 361-6126 |
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