Dr Fazlul Haque, MD in Daphne, AL - Medicare Psychiatry & Neurology

Dr Fazlul Haque, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Daphne, Alabama. His current practice location is 7101 Us Highway 90 Ste 103, Daphne, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 701-5651.

Dr Fazlul Haque is licensed to practice in Alabama (license number MD.50770) 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 1831279751.

Contact Information

	Dr Fazlul Haque, MD
	7101 Us Highway 90 Ste 103, Daphne, AL 36526-9510
	(256) 701-5651
	(256) 429-9411

Map and Direction

Physician's Profile

Full Name	Dr Fazlul Haque
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	7101 Us Highway 90 Ste 103, Daphne, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831279751
Provider Enumeration Date: 10/16/2006
Last Update Date: 03/14/2025

Medicare PECOS Information:

PECOS PAC ID: 3678647229
Enrollment ID: I20080731000210

Medical Identifiers

Medical identifiers for Dr Fazlul Haque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831279751	NPI	-	NPPES
00246075	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	191787 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD.50770 (Alabama)	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 Fazlul Haque allows following entities to bill medicare on his behalf.

Entity Name	Downtown Bronx Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016

Entity Name	Interfaith Psychiatry Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487958559 PECOS PAC ID: 0244409613 Enrollment ID: O20110802000215

Entity Name	Physician Affiliate Group Of New York Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270

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 Fazlul Haque 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 Fazlul Haque, MD 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 288-3333	Dr Fazlul Haque, MD 7101 Us Highway 90 Ste 103, Daphne, AL 36526-9510 Ph: (256) 701-5651

Reviews and Comments

Psychiatry & Neurology Doctors in Daphne, AL

Marilyn E Barefoot, RN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1203 Us Hwy 98, Suite 2a, Daphne, AL 36526 Phone: 251-621-9167 Fax: 251-621-9003
Kathryn Ney, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1026 Stanton Rd, Suite A, Daphne, AL 36526 Phone: 251-626-1182 Fax: 251-217-2085
Dr. Rassan M Tarabein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 27535 Us Highway 98, Daphne, AL 36526 Phone: 251-625-0909 Fax: 251-380-7390
Georgia A Cutts, RN, C Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1203 Us Hwy 98, Suite 2a, Daphne, AL 36526 Phone: 251-621-9167 Fax: 251-621-9003
Dr. Maridith Hollis, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7400 Roper Ln, Daphne, AL 36526 Phone: 251-378-6500 Fax: 251-378-6563
Dr. John Joseph Broderick-cantwell, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7101 Us Highway 90 Ste 103, Daphne, AL 36526 Phone: 251-517-5800 Fax: 256-429-9411

Dr Fazlul Haque, MD - Medicare Psychiatry & Neurology in Daphne, AL