Dr Farooq Abdulla, MD is a medicare enrolled "Pediatrics" physician in Pahrump, Nevada. His current practice location is
1430 E Calvada Blvd Ste 200, Pahrump, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 751-4600.
Dr Farooq Abdulla is licensed to practice in Nevada (license number 6413) 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 1497732093.
Physician's Profile
| Full Name | Dr Farooq Abdulla |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1430 E Calvada Blvd Ste 200, Pahrump, Nevada |
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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: 1497732093
- Provider Enumeration Date: 12/27/2005
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789581844
- Enrollment ID: I20040308000688
Medical Identifiers
Medical identifiers for Dr Farooq Abdulla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497732093 | NPI | - | NPPES |
| 1497732093 | Medicaid | NV | |
| 2002028 | Medicaid | NV | |
| 6413 | Other | NV | NV STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 6413 (Nevada) | Secondary |
| 208000000X | Pediatrics | 6413 (Nevada) | 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 Farooq Abdulla allows following entities to bill medicare on his behalf.
| Entity Name | University Medical Center Of Southern Nevada |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548393127
PECOS PAC ID: 7315934429
Enrollment ID: O20040429001053 |
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| Entity Name | Healthcare Partners Medical Group Coats Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487631917
PECOS PAC ID: 5991866303
Enrollment ID: O20100113000898 |
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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 Farooq Abdulla 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 Farooq Abdulla, MD
Po Box 98978,
Las Vegas, NV 89193-8978
Ph: (702) 216-3346 | Dr Farooq Abdulla, MD
1430 E Calvada Blvd Ste 200,
Pahrump, NV 89048-5852
Ph: (775) 751-4600 |
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