Fahad Hawk, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Tampa, Florida. His current practice location is
17 Davis Blvd Ste 308, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 259-0661.
Fahad Hawk 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 1689170219.
Physician's Profile
| Full Name | Fahad Hawk |
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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 | 17 Davis Blvd Ste 308, Tampa, Florida |
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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: 1689170219
- Provider Enumeration Date: 04/03/2018
- Last Update Date: 12/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648688945
- Enrollment ID: I20210427001625
Medical Identifiers
Medical identifiers for Fahad Hawk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689170219 | NPI | - | NPPES |
| CGXO7 | Other | FL | BCBS |
| 110216800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RI0011X | Internal Medicine - Interventional Cardiology | ME148553 (Florida) | 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. Fahad Hawk allows following entities to bill medicare on his behalf.
| Entity Name | Baycare Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
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| Entity Name | Knd Development 59 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
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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. Fahad Hawk 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 |
Fahad Hawk, MD Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Fahad Hawk, MD 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 Ph: (813) 259-0661 |
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