Dr Faidah O Badru, MD in Lubbock, TX

Dr Faidah O Badru, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Lubbock, Texas. Her current practice location is 4102 22nd Pl, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 725-0237.

Dr Faidah O Badru is licensed to practice in Texas (license number W0362) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740613629.

Contact Information

	Dr Faidah O Badru, MD
	4102 22nd Pl, Lubbock, TX 79410-1122
	(806) 725-0237
	(806) 725-1030

Map and Direction

Physician's Profile

Full Name	Dr Faidah O Badru
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	4102 22nd Pl, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740613629
Provider Enumeration Date: 08/15/2013
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 5496057879
Enrollment ID: I20221205003129

Medical Identifiers

Medical identifiers for Dr Faidah O Badru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740613629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	1828418 (Missouri)	Secondary
2086S0120X	Surgery - Pediatric Surgery	94191 (South Carolina)	Secondary
208600000X	Surgery	0101277902 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086S0120X	Surgery - Pediatric Surgery	W0362 (Texas)	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 Faidah O Badru allows following entities to bill medicare on her behalf.

Entity Name	Charleston Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426

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 Faidah O Badru 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 Faidah O Badru, MD 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5228	Dr Faidah O Badru, MD 4102 22nd Pl, Lubbock, TX 79410-1122 Ph: (806) 725-0237

Reviews and Comments

Surgery Doctors in Lubbock, TX

Tabitha Threatt, MD Surgery Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-743-2373 Fax: 806-743-4354
Ted W Allen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560
Sammy Anthony Deeb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3509 22nd St, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8500
Monja L Proctor, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 22nd Pl, Lubbock, TX 79410 Phone: 806-725-0237 Fax: 806-725-1030
Dr. Brittany Kay Bankhead, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2373 Fax: 806-743-4354
Adam Purtell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560
Dr. Gerald Lynn Woolam, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-771-2222 Fax: 806-771-2224

Dr Faidah O Badru, MD - Medicare Surgery in Lubbock, TX