Mr Moriba Magassouba, PA-C is a
Physician Assistant - Medical based in Finksburg, Maryland. Mr Moriba Magassouba is licensed to practice in Maryland (license number C0003821) and his current practice location is
2970 Dede Rd Ste 4, Finksburg, Maryland. He can be reached at his office (for appointments etc.) via phone at
(443) 487-4053.
NPI number for Mr Moriba Magassouba is 1629229737 and his current mailing address is 2970 Dede Rd Ste 4, Finksburg, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629229737.
Provider's Profile
| Full Name | Mr Moriba Magassouba |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 2970 Dede Rd Ste 4, Finksburg, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629229737
- Provider Enumeration Date: 10/07/2008
- Last Update Date: 02/26/2019
Medical Identifiers
Medical identifiers for Mr Moriba Magassouba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629229737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | C0003821 (Maryland) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1722 (Tennessee) | Secondary |
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. Mr Moriba Magassouba is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Moriba Magassouba, PA-C 2970 Dede Rd Ste 4, Finksburg, MD 21048-2349 Ph: (443) 487-4053 | Mr Moriba Magassouba, PA-C 2970 Dede Rd Ste 4, Finksburg, MD 21048-2349 Ph: (443) 487-4053 |
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