Mushtaq Memon, MD in Staten Island, NY - Medicare Family Medicine

Mushtaq Memon, MD is a medicare enrolled "Family Medicine" physician in Staten Island, New York. His current practice location is 1050 Clove Rd, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 816-6440.

Mushtaq Memon is licensed to practice in New York (license number 228479) 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 1780645739.

Contact Information

	Mushtaq Memon, MD
	1050 Clove Rd, Staten Island, NY 10301-3627
	(718) 816-6440
	(718) 816-3611

Map and Direction

Physician's Profile

Full Name	Mushtaq Memon
Gender	Male
Speciality	Family Medicine
Location	1050 Clove Rd, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780645739
Provider Enumeration Date: 03/29/2006
Last Update Date: 10/10/2012

Medicare PECOS Information:

PECOS PAC ID: 5597757872
Enrollment ID: I20130510000185

Medical Identifiers

Medical identifiers for Mushtaq Memon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780645739	NPI	-	NPPES
02457743	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	228479 (New York)	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. Mushtaq Memon allows following entities to bill medicare on his behalf.

Entity Name	State Of New Jersey Omb Centralized Payroll
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467552240 PECOS PAC ID: 6406742592 Enrollment ID: O20050603000317

Entity Name	Azz Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699704809 PECOS PAC ID: 6002132685 Enrollment ID: O20150225001108

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. Mushtaq Memon 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
Mushtaq Memon, MD 1050 Clove Rd, Staten Island, NY 10301-3627 Ph: (718) 816-6440	Mushtaq Memon, MD 1050 Clove Rd, Staten Island, NY 10301-3627 Ph: (718) 816-6440

Reviews and Comments

Family Medicine Doctors in Staten Island, NY

Dr. Alvin Man-hao Ho, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Tyrellan Ave, Staten Island, NY 10309 Phone: 929-292-3600 Fax: 929-292-3601
Dr. Raja S Bhatia, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2334 Richmond Rd, Staten Island, NY 10306 Phone: 718-979-4948 Fax: 718-650-0084
Tamara Anna Marie Saukin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 Richmond Road, Staten Island, NY 10306 Phone: 718-351-5557 Fax: 718-351-5559
Dr. Magda F Louka, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 Clove Road, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3611
Dr. Pamela Diane L. Escobar, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1441 South Ave Ste 701, Staten Island, NY 10314 Phone: 718-226-6461
Dr. David Hoi Kim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2079 Forest Ave, Staten Island, NY 10303 Phone: 718-815-6560
Dr. Michael J Carpiniello, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 81 Seymour Ave, Staten Island, NY 10302 Phone: 718-815-1444

Mushtaq Memon, MD - Medicare Family Medicine in Staten Island, NY