Dr Osama Hallak, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kettering, Ohio. His current practice location is
3535 Southern Blvd, Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 298-3399.
Dr Osama Hallak is licensed to practice in * (Not Available) (license number ) 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 1154852614.
Physician's Profile
Full Name | Dr Osama Hallak |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3535 Southern Blvd, Kettering, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154852614
- Provider Enumeration Date: 03/25/2017
- Last Update Date: 03/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234400268
- Enrollment ID: I20201113000761
Medical Identifiers
Medical identifiers for Dr Osama Hallak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154852614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036.152388 (Illinois) | Secondary |
207R00000X | Internal Medicine | 01092576A (Indiana) | Secondary |
208M00000X | Hospitalist | 036.152388 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Osama Hallak allows following entities to bill medicare on his behalf.
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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 Osama Hallak 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 Osama Hallak, 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: () - | Dr Osama Hallak, 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 298-3399 |
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