Jasmine B Moghadam, NURSE PRACTITIONER - Medicare Nurse Practitioner in San Dimas, CA

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Jasmine B Moghadam, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in San Dimas, California. Her current practice location is 1335 Cypress St, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (909) 542-2896.

Jasmine B Moghadam is licensed to practice in California (license number 95018978) 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 1962169375.

Contact Information

Jasmine B Moghadam, NURSE PRACTITIONER
1335 Cypress St,
San Dimas, CA 91773-3537
(909) 542-2896
Not Available

Map and Direction




Provider's Profile

Full NameJasmine B Moghadam
GenderFemale
SpecialityNurse Practitioner - Family
Location1335 Cypress St, San Dimas, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962169375
  • Provider Enumeration Date: 11/19/2021
  • Last Update Date: 06/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608245584
  • Enrollment ID: I20221215002645

Medical Identifiers

Medical identifiers for Jasmine B Moghadam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962169375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95018978 (California)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. Jasmine B Moghadam allows following entities to bill medicare on her behalf.
Entity NamePagiel Shechter Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434880
PECOS PAC ID: 3779557244
Enrollment ID: O20040820000789

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. Jasmine B Moghadam 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 AddressPractice Location Address
Jasmine B Moghadam, NURSE PRACTITIONER
1335 Cypress St,
San Dimas, CA 91773-3537

Ph: (909) 542-2896		Jasmine B Moghadam, NURSE PRACTITIONER
1335 Cypress St,
San Dimas, CA 91773-3537

Ph: (909) 542-2896

Reviews and Comments


Nurse Practitioner Nurses in San Dimas, CA

Karen Renee Manson, NP
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Gia Han Ngoc Nguyen,
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Bassam Aziz, FNP-BC
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Phone: 310-592-7149    
Rachel Christensen,
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Miss Maki Kusunaga, NP-C
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Medicare: Medicare Enrolled
Practice Location: 400 W Covina Blvd, San Dimas, CA 91773
Phone: 909-592-6411    Fax: 909-971-5841
Ashley M Blayton, CPNP
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Medicare: Medicare Enrolled
Practice Location: 1330 W Covina Blvd Ste 106, San Dimas, CA 91773
Phone: 909-599-6876    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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