Mrs Lida Mohammadkhah, ANP in Nashville, TN - Medicare Nurse Practitioner

Mrs Lida Mohammadkhah, ANP is a medicare enrolled "Nurse Practitioner - Primary Care" in Nashville, Tennessee. Her current practice location is 530 Great Circle Rd, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (312) 262-2739.

Mrs Lida Mohammadkhah is licensed to practice in Tennessee (license number 15233) 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 1205137569.

Contact Information

	Mrs Lida Mohammadkhah, ANP
	530 Great Circle Rd, Nashville, TN 37228-1309
	(312) 262-2739
	(312) 564-4059

Map and Direction

Provider's Profile

Full Name	Mrs Lida Mohammadkhah
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	530 Great Circle Rd, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205137569
Provider Enumeration Date: 11/03/2010
Last Update Date: 10/10/2016

Medicare PECOS Information:

PECOS PAC ID: 8628238839
Enrollment ID: I20120327000021

Medical Identifiers

Medical identifiers for Mrs Lida Mohammadkhah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205137569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	94637 (Tennessee)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	15233 (Tennessee)	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. Mrs Lida Mohammadkhah allows following entities to bill medicare on her behalf.

Entity Name	Monogram Health Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20201027002061

Entity Name	Evernorth Care Providers - Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164100400 PECOS PAC ID: 7911355532 Enrollment ID: O20231130003226

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. Mrs Lida Mohammadkhah 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
Mrs Lida Mohammadkhah, ANP 9217 Sydney Ln, Brentwood, TN 37027-8153 Ph: (615) 969-7278	Mrs Lida Mohammadkhah, ANP 530 Great Circle Rd, Nashville, TN 37228-1309 Ph: (312) 262-2739

Reviews and Comments

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Mrs Lida Mohammadkhah, ANP - Medicare Nurse Practitioner in Nashville, TN