Irfan Mamoun, MD - Medicare Radiology in Clinton Township, MI

Irfan Mamoun, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Clinton Township, Michigan. His current practice location is 36175 Harper Ave, Clinton Township, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 741-3772.

Irfan Mamoun is licensed to practice in Michigan (license number 4301038517) 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 1861637811.

Contact Information

Irfan Mamoun, MD
36175 Harper Ave,
Clinton Township, MI 48035-3274
(586) 741-3772
Not Available



Physician's Profile

Full NameIrfan Mamoun
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location36175 Harper Ave, Clinton Township, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861637811
  • Provider Enumeration Date: 12/04/2008
  • Last Update Date: 04/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729344098
  • Enrollment ID: I20171102002902

Medical Identifiers

Medical identifiers for Irfan Mamoun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861637811NPI-NPPES
4301038517OtherMIMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME141698 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301038517 (Michigan)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. Irfan Mamoun allows following entities to bill medicare on his behalf.
Entity NameColumbus Radiology Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669408159
PECOS PAC ID: 6507754983
Enrollment ID: O20040308000742

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Entity NameF&s Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518299957
PECOS PAC ID: 0244368868
Enrollment ID: O20100628000202

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Entity NameMercy Health Physicians Youngstown Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835

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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. Irfan Mamoun 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
Irfan Mamoun, MD
22550 Bard Ave,
Fairview Park, OH 44126-2907

Ph: (440) 378-4186
Irfan Mamoun, MD
36175 Harper Ave,
Clinton Township, MI 48035-3274

Ph: (586) 741-3772

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Radiology Doctors in Clinton Township, MI

Dr. Onowenerhi Benedictta Omene, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-464-0731    Fax: 586-464-1954
Kyoung Soo Bae, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-741-3772    Fax: 586-741-4604
Michael P. Trpkovski, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-464-0740    
Cadie Lee Cunningham,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 38654 Bay Ln, Clinton Township, MI 48038
Phone: 586-854-2533    
Rojanandham Samudrala, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-741-3772    Fax: 586-741-4604
Mrs. Cynthia Marie Wheeler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-741-3772    Fax: 586-741-4604
Anthony P Munaco, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 36175 Harper Ave, Clinton Township, MI 48035
Phone: 586-741-3772    Fax: 586-741-4604

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