Mr Mahmoud R Moghadam, FNP-C - Medicare Nurse Practitioner in Las Vegas, NV

Mr Mahmoud R Moghadam, FNP-C is a medicare enrolled "Nurse Practitioner" in Las Vegas, Nevada. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Urgent Care Nevada Llc, University Medical Center Of Southern Nevada and his current practice location is 5757 Wayne Newton, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 383-2527.

Mr Mahmoud R Moghadam is licensed to practice in Nevada (license number 823272) 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 1992327712.

Contact Information

Mr Mahmoud R Moghadam, FNP-C
5757 Wayne Newton,
Las Vegas, NV 89111
(702) 383-2527
(702) 383-1991



Provider's Profile

Full NameMr Mahmoud R Moghadam
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location5757 Wayne Newton, Las Vegas, Nevada
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:
  • Mr Mahmoud R Moghadam graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1992327712
  • Provider Enumeration Date: 05/14/2020
  • Last Update Date: 01/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092139220
  • Enrollment ID: I20200721003960

Medical Identifiers

Medical identifiers for Mr Mahmoud R Moghadam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992327712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SF0001XClinical Nurse Specialist - Family Health 823272 (Nevada)Secondary
363L00000XNurse Practitioner 823272 (Nevada)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urgent Care Nevada Llc701213703777
University Medical Center Of Southern Nevada7315934429243

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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. Mr Mahmoud R Moghadam allows following entities to bill medicare on his behalf.
Entity NameUniversity Medical Center Of Southern Nevada
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548393127
PECOS PAC ID: 7315934429
Enrollment ID: O20040429001053

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Entity NameUrgent Care Nevada Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134546575
PECOS PAC ID: 7012137037
Enrollment ID: O20140925000800

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Entity NameLas Vegas Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447656988
PECOS PAC ID: 6800118522
Enrollment ID: O20141209001376

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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. Mr Mahmoud R Moghadam 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
Mr Mahmoud R Moghadam, FNP-C
1800 W Charleston Blvd,
Las Vegas, NV 89102

Ph: (702) 765-7920
Mr Mahmoud R Moghadam, FNP-C
5757 Wayne Newton,
Las Vegas, NV 89111

Ph: (702) 383-2527

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Nurse Practitioner Nurses in Las Vegas, NV

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Ms. Lotis Gay Perilla Edano, APRN, NP-C
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Medicare: Medicare Enrolled
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Phone: 702-732-2438    Fax: 702-733-7876
Jann Stacey Pickens, NP
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Medicare: Accepting Medicare Assignments
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Tasha Gouin, FNP-BC
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Aric Pedro Adaoag, FNP-BC
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Medicare: Medicare Enrolled
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Ms. Michele Marie Brock, NURSE PRACTITIONER
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