Dr Hazem A Elariny, MD, PHD, FACS is a medicare enrolled "Surgery" physician in Vienna, Virginia. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1990 and has 34 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Tidalhealth Physician Network, Inc. and his current practice location is
2235 Cedar Ln, 302, Vienna, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 778-6000.
Dr Hazem A Elariny is licensed to practice in Virginia (license number 0101057211) 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 1649203118.
Physician's Profile
| Full Name | Dr Hazem A Elariny |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 34 Years |
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| Location | 2235 Cedar Ln, Vienna, Virginia |
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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 Hazem A Elariny attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1990
NPI Data:
- NPI Number: 1649203118
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 09/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729045042
- Enrollment ID: I20210929002005
Medical Identifiers
Medical identifiers for Dr Hazem A Elariny such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649203118 | NPI | - | NPPES |
| 1649203118 | Medicaid | VA | |
| 73-0921-0 | Medicaid | VA | |
| 52400001 | Other | VA | CARE FIRST |
| 206776 | Other | VA | ANTHEM |
| 342276 | Other | VA | ANTHEM BLUE CROSS-TCH |
| 5850652 | Other | VA | AETNA PPO |
| 3810011401 | Medicaid | WV | |
| 5076737003 | Other | VA | CIGNA HMO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 0101057211 (Virginia) | Primary |
| 2086S0127X | Surgery - Trauma Surgery | 61708-20 (Wisconsin) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tidalhealth Physician Network, Inc. | 7315901253 | 75 |
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 Hazem A Elariny allows following entities to bill medicare on his behalf.
| Entity Name | Tidalhealth Physician Network, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467534636
PECOS PAC ID: 7315901253
Enrollment ID: O20041119000090 |
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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 Hazem A Elariny 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 Hazem A Elariny, MD, PHD, FACS
2235 Cedar Ln, 302,
Vienna, VA 22182-5202
Ph: (703) 778-6000 | Dr Hazem A Elariny, MD, PHD, FACS
2235 Cedar Ln, 302,
Vienna, VA 22182-5202
Ph: (703) 778-6000 |
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