Mr Jack Mohadeb, PA in Brooklyn, NY - Medicare Physician Assistant

Mr Jack Mohadeb, PA is a medicare enrolled "Physician Assistant" in Brooklyn, New York. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Aandi Medical P.c. and his current practice location is 1977 E 15th St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (917) 751-6126.

Mr Jack Mohadeb is licensed to practice in New York (license number 014776-1) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1326451337.

Contact Information

	Mr Jack Mohadeb, PA
	1977 E 15th St, Brooklyn, NY 11229-3307
	(917) 751-6126
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jack Mohadeb
Gender	Male
Speciality	Physician Assistant
Experience	13 Years
Location	1977 E 15th St, Brooklyn, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jack Mohadeb graduated from nursing school in 2011

NPI Data:

NPI Number: 1326451337
Provider Enumeration Date: 06/06/2014
Last Update Date: 10/24/2014

Medicare PECOS Information:

PECOS PAC ID: 6507184561
Enrollment ID: I20150423001451

Medical Identifiers

Medical identifiers for Mr Jack Mohadeb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326451337	NPI	-	NPPES
014776-1	Other	NY	LICENSE#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	014776-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aandi Medical P.c.	8022199066	2

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 Jack Mohadeb 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 Jack Mohadeb, PA 1977 E 15th St, Brooklyn, NY 11229-3307 Ph: (917) 751-6126	Mr Jack Mohadeb, PA 1977 E 15th St, Brooklyn, NY 11229-3307 Ph: (917) 751-6126

Reviews and Comments

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Mr Jack Mohadeb, PA - Medicare Physician Assistant in Brooklyn, NY