Mazdak Momeni, MD - Medicare Gynecological Oncology in Loma Linda, CA

Mazdak Momeni, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Loma Linda, California. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Gynecological Oncology. He is a member of the group practice Faculty Physicians And Surgeons Of Llusm and his current practice location is 11234 Anderson Street, Shuman Pavilion Room A 220, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-2262.

Mazdak Momeni is licensed to practice in California (license number A131261) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275865917.

Contact Information

Mazdak Momeni, MD
11234 Anderson Street, Shuman Pavilion Room A 220,
Loma Linda, CA 92354
(909) 558-2262
Not Available



Physician's Profile

Full NameMazdak Momeni
GenderMale
SpecialityGynecological Oncology
Experience22 Years
Location11234 Anderson Street, Loma Linda, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mazdak Momeni graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1275865917
  • Provider Enumeration Date: 02/05/2010
  • Last Update Date: 05/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5092908384
  • Enrollment ID: I20141023001834

Medical Identifiers

Medical identifiers for Mazdak Momeni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275865917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0201XObstetrics & Gynecology - Gynecologic Oncology A131261 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Loma Linda University Medical CenterLoma linda, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Faculty Physicians And Surgeons Of Llusm11532278141053

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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. Mazdak Momeni allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981

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Entity NameCounty Of Riverside
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023122967
PECOS PAC ID: 6507754488
Enrollment ID: O20040310001107

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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. Mazdak Momeni 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
Mazdak Momeni, MD
11234 Anderson Street, Shuman Pavilion Room A 220,
Loma Linda, CA 92354

Ph: (909) 558-2262
Mazdak Momeni, MD
11234 Anderson Street, Shuman Pavilion Room A 220,
Loma Linda, CA 92354

Ph: (909) 558-2262

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Obstetrics & Gynecology Doctors in Loma Linda, CA

Samira Monavvari, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Danielle C.a. Sawyer-macknet, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 25805 Barton Rd, Suite 107, Loma Linda, CA 92354
Phone: 909-478-7700    Fax: 909-478-7705
Dr. Tiare Nicole Evans, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Kevin C Balli, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Juthamas Kositsawat,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Loma Linda, CA 92354
Phone: 909-558-2806    
Hermina Salvador, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Ai-mae Chee Watkins, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    

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