Dr Nabil Abdalla Fam, MD is a medicare enrolled "Surgery" physician in Lake City, South Carolina. His current practice location is
324 Mercy St, Lake City, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 374-9945.
Dr Nabil Abdalla Fam is licensed to practice in South Carolina (license number 8455-20) 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 1700834710.
Physician's Profile
| Full Name | Dr Nabil Abdalla Fam |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 324 Mercy St, Lake City, South Carolina |
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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: 1700834710
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 10/10/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567487291
- Enrollment ID: I20051011000961
Medical Identifiers
Medical identifiers for Dr Nabil Abdalla Fam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700834710 | NPI | - | NPPES |
| 8455-20 | Other | SC | STATE LICENSE |
| GP2860 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 8455-20 (South Carolina) | 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 Nabil Abdalla Fam allows following entities to bill medicare on his behalf.
| Entity Name | Lower Florence County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902903222
PECOS PAC ID: 6608802152
Enrollment ID: O20050808000493 |
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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 Nabil Abdalla Fam 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 Nabil Abdalla Fam, MD
324 Mercy St,
Lake City, SC 29560-2332
Ph: (843) 374-9945 | Dr Nabil Abdalla Fam, MD
324 Mercy St,
Lake City, SC 29560-2332
Ph: (843) 374-9945 |
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