Van C Momon, MD in Dearborn, MI - Medicare Pediatrics

Van C Momon, MD is a medicare enrolled "Pediatrics" physician in Dearborn, Michigan. His current practice location is Henry Ford Health System, 5500 Auto Club Drive, Suite 160, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 425-4700.

Van C Momon is licensed to practice in Michigan (license number 4301047888) 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 1942357751.

Contact Information

	Van C Momon, MD
	Henry Ford Health System, 5500 Auto Club Drive, Suite 160, Dearborn, MI 48126
	(313) 425-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Van C Momon
Gender	Male
Speciality	Pediatrics
Location	Henry Ford Health System, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942357751
Provider Enumeration Date: 01/04/2007
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 4385824564
Enrollment ID: I20110204000391

Medical Identifiers

Medical identifiers for Van C Momon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942357751	NPI	-	NPPES
175499010	Medicaid	MI
700H262280	Other		BLUE CROSS-BLUE CROSS
VM047888	Other		CHAMPUS-CHAMPUS
VM047888	Other		COMMERCIAL-COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301047888 (Michigan)	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. Van C Momon allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Van C Momon 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
Van C Momon, MD Henry Ford Health System, 5500 Auto Club Drive, Suite 160, Dearborn, MI 48126 Ph: (313) 425-4700	Van C Momon, MD Henry Ford Health System, 5500 Auto Club Drive, Suite 160, Dearborn, MI 48126 Ph: (313) 425-4700

Reviews and Comments

Pediatrics Doctors in Dearborn, MI

Mrs. Kingkhan Boriboon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3850 Pelham St, Dearborn, MI 48124 Phone: 313-562-9500 Fax: 313-562-7567
Rannan Kased, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Schaefer Rd Ste 245255, Dearborn, MI 48126 Phone: 313-561-5100 Fax: 313-565-0309
Dr. Doss Nicolas Doss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 5500 Auto Club Dr, Dearborn, MI 48126 Phone: 313-425-4700
Saba Javaid, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-4400
Kathleen B. Blumer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Phone: 313-982-8330 Fax: 313-982-8294
Dr. Azmathullah Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4700 Greenfield Rd, Dearborn, MI 48126 Phone: 313-945-6100 Fax: 313-945-5260
Dr. Alex Elsabbagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Telegraph Rd, Dearborn, MI 48128 Phone: 313-274-6666 Fax: 313-274-4466

Van C Momon, MD - Medicare Pediatrics in Dearborn, MI