Khaled Mahmoud Hassan, MD in Fullerton, CA

Khaled Mahmoud Hassan, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Fullerton, California. He went to Duke University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Providence Medical Foundation and his current practice location is 2720 N Harbor Blvd, Ste 220, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 578-8527.

Khaled Mahmoud Hassan is licensed to practice in California (license number A111137) 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 1023272309.

Contact Information

	Khaled Mahmoud Hassan, MD
	2720 N Harbor Blvd, Ste 220, Fullerton, CA 92835-2609
	(714) 578-8527
	(714) 578-8570

Map and Direction

Physician's Profile

Full Name	Khaled Mahmoud Hassan
Gender	Male
Speciality	Dermatology
Experience	16 Years
Location	2720 N Harbor Blvd, Fullerton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Khaled Mahmoud Hassan attended and graduated from Duke University School Of Medicine in 2008

NPI Data:

NPI Number: 1023272309
Provider Enumeration Date: 07/15/2008
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5698939189
Enrollment ID: I20141028001601

Medical Identifiers

Medical identifiers for Khaled Mahmoud Hassan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023272309	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	A111137 (California)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	A111137 (California)	Primary
207N00000X	Dermatology	A111137 (California)	Secondary
207ND0900X	Dermatology - Dermatopathology	A111137 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293

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. Khaled Mahmoud Hassan allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Khaled Mahmoud Hassan 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
Khaled Mahmoud Hassan, MD 2720 N Harbor Blvd, Ste 220, Fullerton, CA 92835-2609 Ph: (714) 578-8527	Khaled Mahmoud Hassan, MD 2720 N Harbor Blvd, Ste 220, Fullerton, CA 92835-2609 Ph: (714) 578-8527

Reviews and Comments

Dermatology Doctors in Fullerton, CA

Dr. Helia Eragi, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Rd, Suite 210, Fullerton, CA 92835 Phone: 714-879-9936
Patrick Robert Dahl, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 Phone: 714-525-3500 Fax: 714-525-3588
Kristina A Holmkvist, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 Phone: 714-525-3500 Fax: 714-525-3588
Dr. Brian Somoano, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835 Phone: 714-626-8610 Fax: 714-626-8655
Dr. Robert Rosenberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 N Harbor Blvd, Suite 210, Fullerton, CA 92835 Phone: 714-626-6310 Fax: 714-626-6320
Stacy Eleanor Whitelock, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835 Phone: 714-626-8650 Fax: 714-626-8696

Khaled Mahmoud Hassan, MD - Medicare Dermatology in Fullerton, CA