Fakhri Dalati, MD - Medicare Internal Medicine in Columbus, MS

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Fakhri Dalati, MD is a medicare enrolled "Hospitalist" physician in Columbus, Mississippi. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southeastern Physician Services Pc, St Bernards Hospital Inc. and his current practice location is 2520 5th St N, Columbus, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 244-2042.

Fakhri Dalati is licensed to practice in Tennessee (license number 38826) 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 1013967835.

Contact Information

Fakhri Dalati, MD
2520 5th St N,
Columbus, MS 39705-2008
(662) 244-2042
(662) 244-2041

Map and Direction




Physician's Profile

Full NameFakhri Dalati
GenderMale
SpecialityInternal Medicine
Experience27 Years
Location2520 5th St N, Columbus, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fakhri Dalati graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1013967835
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 05/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173590320
  • Enrollment ID: I20180605002621

Medical Identifiers

Medical identifiers for Fakhri Dalati such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013967835NPI-NPPES
3335918MedicaidTN
4129687OtherTNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 19516 (Mississippi)Secondary
208M00000XHospitalist 38826 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Bernards Medical CenterJonesboro, ARHospital
Baptist Health PaducahPaducah, KYHospital
Crossridge Community HospitalWynne, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852473
St Bernards Hospital Inc.0941105480146

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. Fakhri Dalati allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518360296
PECOS PAC ID: 5597867184
Enrollment ID: O20150206000249
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20190801002308

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. Fakhri Dalati 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
Fakhri Dalati, MD
320 W 18th St,
Hopkinsville, KY 42240-1965

Ph: (270) 887-0100		Fakhri Dalati, MD
2520 5th St N,
Columbus, MS 39705-2008

Ph: (662) 244-2042

Reviews and Comments


Hospitalist Doctors in Columbus, MS

Donald Anderson Fearn, M.D.
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 2520 5th St N, Columbus, MS 39705
Phone: 662-244-2042    Fax: 662-244-2041

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.