Paul Nabeel Mogannam, MD in Los Angeles, CA - Medicare Interventional Radiology

Paul Nabeel Mogannam, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Kettering Network Radiologists Inc, Kettering Network Radiologists Inc and his current practice location is 1200 N State St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 226-7242.

Paul Nabeel Mogannam is licensed to practice in California (license number A86074) 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 1790902328.

Contact Information

	Paul Nabeel Mogannam, MD
	1200 N State St, Los Angeles, CA 90033-1029
	(323) 226-7242
	Not Available

Map and Direction

Physician's Profile

Full Name	Paul Nabeel Mogannam
Gender	Male
Speciality	Interventional Radiology
Experience	22 Years
Location	1200 N State St, Los Angeles, 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:

Paul Nabeel Mogannam graduated from medical school in 2002

NPI Data:

NPI Number: 1790902328
Provider Enumeration Date: 04/18/2007
Last Update Date: 04/20/2009

Medicare PECOS Information:

PECOS PAC ID: 8729140652
Enrollment ID: I20081230000531

Medical Identifiers

Medical identifiers for Paul Nabeel Mogannam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790902328	NPI	-	NPPES
P00679808	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A86074 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kettering Medical Center	Kettering, OH	Hospital
Grandview And Southview Hospitals	Dayton, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital
Kettering Medical Center - Sycamore	Miamisburg, OH	Hospital
Troy Hospital	Troy, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Network Radiologists Inc	7618960303	67
Kettering Network Radiologists Inc	7618960303	67

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. Paul Nabeel Mogannam allows following entities to bill medicare on his behalf.

Entity Name	Renaissance Imaging Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257

Entity Name	Kettering Network Radiologists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346299153 PECOS PAC ID: 7618960303 Enrollment ID: O20170209001203

Entity Name	Golden State Imaging Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788

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. Paul Nabeel Mogannam 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
Paul Nabeel Mogannam, MD 968 S Barrington Ave Apt 1, Los Angeles, CA 90049-5574 Ph: (650) 218-9350	Paul Nabeel Mogannam, MD 1200 N State St, Los Angeles, CA 90033-1029 Ph: (323) 226-7242

Reviews and Comments

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Paul Nabeel Mogannam, MD - Medicare Interventional Radiology in Los Angeles, CA