Dr Iquebal Hasan, DDS is a medicare enrolled "Oral Medicinist" provider in Greenville, North Carolina. His current practice location is
1851 Macgregor Downs Rd, Mail Stop #701, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 737-7158.
Dr Iquebal Hasan is licensed to practice in North Carolina (license number 00175) 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 1255657441.
Healthcare Provider's Profile
| Full Name | Dr Iquebal Hasan |
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| Gender | Male |
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| Speciality | Oral Medicinist |
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| Location | 1851 Macgregor Downs Rd, Greenville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255657441
- Provider Enumeration Date: 04/13/2010
- Last Update Date: 06/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264667781
- Enrollment ID: I20161114000856
Medical Identifiers
Medical identifiers for Dr Iquebal Hasan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255657441 | NPI | - | NPPES |
| 7100301160 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 00175 (North Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 00175 (North Carolina) | Secondary |
| 125Q00000X | Oral Medicinist | 0175 (North Carolina) | Secondary |
| 125Q00000X | Oral Medicinist | 00175 (North Carolina) | 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. Dr Iquebal Hasan allows following entities to bill medicare on his behalf.
| Entity Name | East Carolina University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400 |
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| Entity Name | University Of North Carolina Hospitals At Chapel Hill |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568070308
PECOS PAC ID: 4486561008
Enrollment ID: O20051229000141 |
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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. Dr Iquebal Hasan 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 Address | Practice Location Address |
|---|
Dr Iquebal Hasan, DDS
1851 Macgregor Downs Ro, Mail Stop #701 Ecu School Of Dental Medicine,
Greenville, NC 27834-0297
Ph: (252) 737-7158 | Dr Iquebal Hasan, DDS
1851 Macgregor Downs Rd, Mail Stop #701,
Greenville, NC 27834-5925
Ph: (252) 737-7158 |
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