Dr Talha Ali Siddiqui, MD - Medicare Psychiatry & Neurology in Fort Myers, FL

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Dr Talha Ali Siddiqui, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Myers, Florida. His current practice location is 3240 Champion Ring Road, Apt 1414, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (516) 209-7311.

Dr Talha Ali Siddiqui is licensed to practice in Florida (license number ME154114) 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 1578790531.

Contact Information

Dr Talha Ali Siddiqui, MD
3240 Champion Ring Road, Apt 1414,
Fort Myers, FL 33905
(516) 209-7311
Not Available

Map and Direction




Physician's Profile

Full NameDr Talha Ali Siddiqui
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location3240 Champion Ring Road, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578790531
  • Provider Enumeration Date: 06/17/2009
  • Last Update Date: 01/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7416339312
  • Enrollment ID: I20220808003528

Medical Identifiers

Medical identifiers for Dr Talha Ali Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578790531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry C1-0025448 (Delaware)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry ME154114 (Florida)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 314306 (New York)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry C1-0025448 (Delaware)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MD476686 (Pennsylvania)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry ME154114 (Florida)Primary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 314306 (New York)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 65632 (Arizona)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry MD476686 (Pennsylvania)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 65632 (Arizona)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 Talha Ali Siddiqui allows following entities to bill medicare on his behalf.
Entity NameLifewell Behavioral Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417050337
PECOS PAC ID: 4981641818
Enrollment ID: O20050412001535

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 Talha Ali Siddiqui 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 AddressPractice Location Address
Dr Talha Ali Siddiqui, MD
3240 Champion Ring Rd Apt 1414,
Fort Myers, FL 33905-6180

Ph: (516) 209-7311		Dr Talha Ali Siddiqui, MD
3240 Champion Ring Road, Apt 1414,
Fort Myers, FL 33905

Ph: (516) 209-7311

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.