Mqm Medical Group Inc - Medicare Primary Care in N Hollywood, CA

Mqm Medical Group Inc is a medicare enrolled primary clinic (Internal Medicine) in N Hollywood, California. The current practice location for Mqm Medical Group Inc is 12826 Victory Blvd Ste E, N Hollywood, California. For appointments, you can reach them via phone at (818) 583-0055. The mailing address for Mqm Medical Group Inc is 5682 Dawn Falls St, Las Vegas, Nevada and phone number is (858) 997-9105.

Mqm Medical Group Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174252951. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 583-0055.

Contact Information

Mqm Medical Group Inc
12826 Victory Blvd Ste E
N Hollywood
CA 91606-3065
(818) 583-0055
(818) 583-0054

Primary Care Clinic Profile

Full NameMqm Medical Group Inc
SpecialityInternal Medicine
Location12826 Victory Blvd Ste E, N Hollywood, California
Authorized Official Name and PositionMark Bernardi (MEDICAL DIRECTOR)
Authorized Official Contact8589979105
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mqm Medical Group Inc
5682 Dawn Falls St
Las Vegas
NV 89148-7650

Ph: (858) 997-9105
Mqm Medical Group Inc
12826 Victory Blvd Ste E
N Hollywood
CA 91606-3065

Ph: (818) 583-0055

NPI Details:

NPI Number1174252951
Provider Enumeration Date06/07/2022
Last Update Date06/09/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0648654343
Medicare Enrollment IDO20220830001360

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Medical Identifiers

Medical identifiers for Mqm Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174252951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mqm Medical Group Inc acts as a billing entity for following providers:
Provider NameMark Thomas Bernardi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073900536
PECOS PAC ID: 3476818667
Enrollment ID: I20210210002360

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Provider NameMahmoud Moammar
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1952500696
PECOS PAC ID: 9931282332
Enrollment ID: I20210216000893

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