Mahmoud Zeidan, MD - Medicare Student in an Organized Health Care Education/Training Program in Pontiac, MI

Mahmoud Zeidan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Pontiac, Michigan. His current practice location is 50 N Perry St, Pontiac, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 338-5392.

Mahmoud Zeidan is licensed to practice in Michigan (license number ) 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 1124762596.

Contact Information

Mahmoud Zeidan, MD
50 N Perry St,
Pontiac, MI 48342-2217
(248) 338-5392
Not Available



Physician's Profile

Full NameMahmoud Zeidan
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location50 N Perry St, Pontiac, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124762596
  • Provider Enumeration Date: 04/22/2022
  • Last Update Date: 12/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113396953
  • Enrollment ID: I20221216002318

Medical Identifiers

Medical identifiers for Mahmoud Zeidan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124762596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4301510742 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (Michigan)Primary

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. Mahmoud Zeidan 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
Mahmoud Zeidan, MD
50 N Perry St,
Pontiac, MI 48342-2217

Ph: (248) 338-5392
Mahmoud Zeidan, MD
50 N Perry St,
Pontiac, MI 48342-2217

Ph: (248) 338-5392

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