Mr Moriba Magassouba, PA-C is a medicare enrolled "Physician Assistant - Medical" in Finksburg, Maryland. His current practice location is
2970 Dede Rd Ste 4, Finksburg, Maryland. You can reach out to his office (for appointments etc.) via phone at
(443) 487-4053.
Mr Moriba Magassouba is licensed to practice in Maryland (license number C0003821) 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 1629229737.
Provider's Profile
Full Name | Mr Moriba Magassouba |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 2970 Dede Rd Ste 4, Finksburg, Maryland |
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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: 1629229737
- Provider Enumeration Date: 10/07/2008
- Last Update Date: 02/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 4789746777
- Enrollment ID: I20081230000104
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
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 |
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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