Dr Mohamed Amr Hafez, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Patton, California. His current practice location is
3102 E. Highland Avenue, Medical Staff Office, Patton, California. You can reach out to his office (for appointments etc.) via phone at
(909) 425-7679.
Dr Mohamed Amr Hafez is licensed to practice in California (license number A48947) 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 1780636167.
Physician's Profile
| Full Name | Dr Mohamed Amr Hafez |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 3102 E. Highland Avenue, Patton, California |
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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: 1780636167
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 08/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 0345388963
- Enrollment ID: I20091118000580
Medical Identifiers
Medical identifiers for Dr Mohamed Amr Hafez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780636167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | A48947 (California) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A48947 (California) | Primary |
| 208D00000X | General Practice | A48947 (California) | Secondary |
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 Mohamed Amr Hafez allows following entities to bill medicare on his behalf.
| Entity Name | Department Of State Hospitals |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305 |
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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 Mohamed Amr Hafez 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 Mohamed Amr Hafez, MD
3102 E. Highland Avenue, Medical Staff Office,
Patton, CA 92369
Ph: (909) 425-7679 | Dr Mohamed Amr Hafez, MD
3102 E. Highland Avenue, Medical Staff Office,
Patton, CA 92369
Ph: (909) 425-7679 |
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