Umme Mobassera, MD is a medicare enrolled "General Practice" physician in Island Park, New York. Her current practice location is
1 Long Beach Rd, Island Park, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 432-0300.
Umme Mobassera is licensed to practice in ZZ (license number 31451) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063278604.
Physician's Profile
Full Name | Umme Mobassera |
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Gender | Female |
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Speciality | General Practice |
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Location | 1 Long Beach Rd, Island Park, New York |
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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: 1063278604
- Provider Enumeration Date: 02/22/2024
- Last Update Date: 02/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931642055
- Enrollment ID: I20240618001019
Medical Identifiers
Medical identifiers for Umme Mobassera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063278604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 31451 (ZZ) | 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. Umme Mobassera allows following entities to bill medicare on her behalf.
Entity Name | Peyman Younesi Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891053328 PECOS PAC ID: 4981860202 Enrollment ID: O20120731000499 |
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Entity Name | Nys Medical Associate Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104268572 PECOS PAC ID: 8022243492 Enrollment ID: O20131021001887 |
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Entity Name | Fresh Meadows Physician Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720775083 PECOS PAC ID: 0941657811 Enrollment ID: O20231114003265 |
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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. Umme Mobassera 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 |
Umme Mobassera, MD 194 Smith St Apt 1c, Freeport, NY 11520-4308 Ph: (215) 758-7786 | Umme Mobassera, MD 1 Long Beach Rd, Island Park, NY 11558-2254 Ph: (516) 432-0300 |
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