Dominic Jamil Haddad, DO - Medicare Internal Medicine in Maplewood, MN

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Dominic Jamil Haddad, DO is a medicare enrolled "Internal Medicine" physician in Maplewood, Minnesota. His current practice location is 1575 Beam Ave, Maplewood, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 232-7000.

Dominic Jamil Haddad is licensed to practice in Minnesota (license number 74531) 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 1215566609.

Contact Information

Dominic Jamil Haddad, DO
1575 Beam Ave,
Maplewood, MN 55109-1126
(651) 232-7000
Not Available

Map and Direction




Physician's Profile

Full NameDominic Jamil Haddad
GenderMale
SpecialityInternal Medicine
Location1575 Beam Ave, Maplewood, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215566609
  • Provider Enumeration Date: 04/07/2020
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234553660
  • Enrollment ID: I20230808000983

Medical Identifiers

Medical identifiers for Dominic Jamil Haddad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215566609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 74531 (Minnesota)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. Dominic Jamil Haddad allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Dominic Jamil Haddad 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
Dominic Jamil Haddad, DO
1575 Beam Ave,
Maplewood, MN 55109-1126

Ph: (651) 232-7000		Dominic Jamil Haddad, DO
1575 Beam Ave,
Maplewood, MN 55109-1126

Ph: (651) 232-7000

Reviews and Comments


Internal Medicine Doctors in Maplewood, MN

Andrzej Petryk, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1580 Beam Ave, Maplewood, MN 55109
Phone: 651-779-7978    Fax: 651-779-7656
Dr. Rahul Koranne, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1575 Beam Ave, Maplewood, MN 55109
Phone: 651-232-7800    
Sherry A Moriarty, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Beam Ave, Maplewood, MN 55109
Phone: 651-779-2500    Fax: 651-770-8834
Endea J Curry, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109
Phone: 651-523-9800    Fax: 651-523-9801
Ovidiu George Ardeleanu, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109
Phone: 651-523-9800    Fax: 651-523-9801
Madison Therese Brickner, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109
Phone: 651-232-7800    
Dr. Thomas Martin Hauth, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2945 Hazelwood St, Maplewood, MN 55109
Phone: 651-232-7800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.