Mojdeh Heidari, FNP - Medicare Family Medicine in West Hartford, CT

Mojdeh Heidari, FNP is a medicare enrolled "Family Medicine" physician in West Hartford, Connecticut. Her current practice location is 10 Princeton St, West Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 707-5392.

Mojdeh Heidari is licensed to practice in Connecticut (license number 106074) 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 1306300397.

Contact Information

Mojdeh Heidari, FNP
10 Princeton St,
West Hartford, CT 06110-1893
(860) 707-5392
Not Available



Physician's Profile

Full NameMojdeh Heidari
GenderFemale
SpecialityFamily Medicine
Location10 Princeton St, West Hartford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306300397
  • Provider Enumeration Date: 01/24/2019
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719363514
  • Enrollment ID: I20221003000236

Medical Identifiers

Medical identifiers for Mojdeh Heidari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306300397NPI-NPPES
106074OtherCTRN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 106074 (Connecticut)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. Mojdeh Heidari allows following entities to bill medicare on her behalf.
Entity NameWaire Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871744243
PECOS PAC ID: 4183782360
Enrollment ID: O20081016000105

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Entity NameAmple Urgent And Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497474191
PECOS PAC ID: 6002292802
Enrollment ID: O20221003000181

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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. Mojdeh Heidari 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
Mojdeh Heidari, FNP
360 Bloomfield Ave,
Windsor, CT 06095-2700

Ph: (860) 707-5392
Mojdeh Heidari, FNP
10 Princeton St,
West Hartford, CT 06110-1893

Ph: (860) 707-5392

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Family Medicine Doctors in West Hartford, CT

Rachel Elaine Gilbert, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 631 S Quaker Ln, West Hartford, CT 06110
Phone: 860-233-5133    
Sharon Stacy Farber, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Abrahms Blvd, West Hartford, CT 06117
Phone: 860-523-3800    Fax: 860-523-3949
Dr. Charity Durham, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2446 Albany Ave Ste 302, West Hartford, CT 06117
Phone: 229-292-1144    
Dr. Igor Samegulin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 74 Park Rd, West Hartford, CT 06119
Phone: 860-218-1725    Fax: 860-218-1727
Mrs. Jennifer Lagosz Conboy, APRN FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1216 Farmington Ave, West Hartford, CT 06107
Phone: 860-561-1007    
Dr. Jeffrey R Brown, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 445 South Main Street, West Hartford, CT 06110
Phone: 860-561-7111    Fax: 860-561-7272

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