Dr Sherin Kamal Fetouh, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Merritt Island, Florida. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Tampa Pain Relief Center Inc and his current practice location is
595 N Courtenay Pkwy Ste 101, Merritt Island, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 784-8211.
Dr Sherin Kamal Fetouh is licensed to practice in Florida (license number ME128979) 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 1518135888.
Physician's Profile
| Full Name | Dr Sherin Kamal Fetouh |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 17 Years |
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| Location | 595 N Courtenay Pkwy Ste 101, Merritt Island, Florida |
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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 Sherin Kamal Fetouh graduated from medical school in 2007
NPI Data:
- NPI Number: 1518135888
- Provider Enumeration Date: 02/20/2008
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779730874
- Enrollment ID: I20161020000563
Medical Identifiers
Medical identifiers for Dr Sherin Kamal Fetouh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518135888 | NPI | - | NPPES |
| IS297Z | Other | FL | MEDICARE |
| ME128979 | Other | FL | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME128979 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tampa Pain Relief Center Inc | 6002715158 | 32 |
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 Sherin Kamal Fetouh allows following entities to bill medicare on his behalf.
| Entity Name | Tampa Pain Relief Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871543751
PECOS PAC ID: 6002715158
Enrollment ID: O20040107000709 |
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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 Sherin Kamal Fetouh 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 |
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Dr Sherin Kamal Fetouh, MD
595 N Courtenay Pkwy Ste 101,
Merritt Island, FL 32953-4852
Ph: (321) 784-8211 | Dr Sherin Kamal Fetouh, MD
595 N Courtenay Pkwy Ste 101,
Merritt Island, FL 32953-4852
Ph: (321) 784-8211 |
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