Dr Fasahat Husain Hamzavi, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Clinton Twp, Michigan. He went to Wayne State University School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice S L Husain Hamzavi Md Pc and his current practice location is
43151 Dalcoma Dr, Suite 1, Clinton Twp, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 286-8720.
Dr Fasahat Husain Hamzavi is licensed to practice in Michigan (license number FH078231) 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 1295780989.
Physician's Profile
| Full Name | Dr Fasahat Husain Hamzavi |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 26 Years |
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| Location | 43151 Dalcoma Dr, Clinton Twp, Michigan |
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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 Fasahat Husain Hamzavi attended and graduated from Wayne State University School Of Medicine in 2000
NPI Data:
- NPI Number: 1295780989
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860452315
- Enrollment ID: I20041019000261
Medical Identifiers
Medical identifiers for Dr Fasahat Husain Hamzavi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295780989 | NPI | - | NPPES |
| CB4874 | Other | MI | RAILROAD MEDICARE |
| 4685466 | Medicaid | MI | |
| 4685457 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | FH078231 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| S L Husain Hamzavi Md Pc | 7012976590 | 11 |
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 Fasahat Husain Hamzavi allows following entities to bill medicare on his behalf.
| Entity Name | University Pediatricians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811920549
PECOS PAC ID: 9638070568
Enrollment ID: O20040115000125 |
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| Entity Name | S L Husain Hamzavi Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407943962
PECOS PAC ID: 7012976590
Enrollment ID: O20041008001194 |
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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 Fasahat Husain Hamzavi 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 Fasahat Husain Hamzavi, MD
43151 Dalcoma Dr, Suite 1,
Clinton Twp, MI 48038-6306
Ph: (586) 286-8720 | Dr Fasahat Husain Hamzavi, MD
43151 Dalcoma Dr, Suite 1,
Clinton Twp, MI 48038-6306
Ph: (586) 286-8720 |
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