Dr Fady S Wanna, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Dothan, Alabama. He went to University Of California, Irvine, California College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Wiregrass Clinic Llc and his current practice location is
4300 W Main St Ste 21, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 620-7523.
Dr Fady S Wanna is licensed to practice in Georgia (license number 43813) 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 1861471096.
Physician's Profile
| Full Name | Dr Fady S Wanna |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 34 Years |
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| Location | 4300 W Main St Ste 21, Dothan, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Fady S Wanna attended and graduated from University Of California, Irvine, California College Of Medicine in 1990
NPI Data:
- NPI Number: 1861471096
- Provider Enumeration Date: 01/16/2006
- Last Update Date: 09/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769433622
- Enrollment ID: I20210611001875
Medical Identifiers
Medical identifiers for Dr Fady S Wanna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861471096 | NPI | - | NPPES |
| PENDING | Medicaid | KY | |
| 000876895A | Medicaid | GA | |
| 511I330005 | Other | | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 51616 (Kentucky) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 43813 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wiregrass Clinic Llc | 2860662491 | 38 |
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 Fady S Wanna allows following entities to bill medicare on his behalf.
| Entity Name | Wiregrass Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558657890
PECOS PAC ID: 2860662491
Enrollment ID: O20110908002136 |
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| Entity Name | Baptist Health Centers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265496236
PECOS PAC ID: 3476457011
Enrollment ID: O20180124001442 |
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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 Fady S Wanna 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 |
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Dr Fady S Wanna, MD
Po Box 6599,
Dothan, AL 36302-6599
Ph: (205) 620-7523 | Dr Fady S Wanna, MD
4300 W Main St Ste 21,
Dothan, AL 36305-1058
Ph: (205) 620-7523 |
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