Farzana Sharmin Iqbal, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Kingston, Tennessee. Her current practice location is
820 W Race St, Kingston, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 376-3406.
Farzana Sharmin Iqbal is licensed to practice in Tennessee (license number MD0000030690) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215968193.
Physician's Profile
| Full Name | Farzana Sharmin Iqbal |
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| Gender | Female |
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| Speciality | Internal Medicine - Geriatric Medicine |
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| Location | 820 W Race St, Kingston, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215968193
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 11/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143323410
- Enrollment ID: I20070307000550
Medical Identifiers
Medical identifiers for Farzana Sharmin Iqbal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215968193 | NPI | - | NPPES |
| 3704598 | Medicaid | TN | |
| 38303561 | Medicaid | TN | |
| 7944798 | Other | TN | AETNA |
| Q026084 | Medicaid | TN | |
| 4167588 | Other | TN | BCBS |
| 4394936 | Other | TN | CIGNA |
| TN0160 | Other | TN | JOHN DEERE/UHC |
| 1522673 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD0000030690 (Tennessee) | 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. Farzana Sharmin Iqbal allows following entities to bill medicare on her behalf.
| Entity Name | Covenant Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457302010
PECOS PAC ID: 2860305463
Enrollment ID: O20060719000030 |
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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. Farzana Sharmin Iqbal 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 |
|---|
Farzana Sharmin Iqbal, MD
820 W Race St,
Kingston, TN 37763-2120
Ph: (865) 376-3406 | Farzana Sharmin Iqbal, MD
820 W Race St,
Kingston, TN 37763-2120
Ph: (865) 376-3406 |
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