Fayez Mikhail, MD is a medicare enrolled "Internal Medicine" physician in Southampton, New Jersey. His current practice location is
23 Mayfair Rd, Southampton, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 587-1001.
Fayez Mikhail is licensed to practice in New Jersey (license number MA47865) 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 1770696841.
Physician's Profile
| Full Name | Fayez Mikhail |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 23 Mayfair Rd, Southampton, New Jersey |
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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: 1770696841
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 12/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 8022069897
- Enrollment ID: I20050209000558
Medical Identifiers
Medical identifiers for Fayez Mikhail such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770696841 | NPI | - | NPPES |
| 110027952 | Other | NJ | RAIL ROAD MEDICARE |
| 0533633 | Other | NJ | US HEALTHCARE |
| 83916 | Other | NJ | AMERICAID |
| 9100008422 | Other | NJ | AMERICHOICE |
| 0K0104 | Other | NJ | HEALTHNET |
| 222873394 | Other | NJ | TAX ID |
| 3594106 | Medicaid | NJ | |
| 1024394 | Other | NJ | MERCY |
| 0212428000 | Other | NJ | AMERIHEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MA47865 (New Jersey) | 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. Fayez Mikhail allows following entities to bill medicare on his behalf.
| Entity Name | Fayez Mikhail, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699710558
PECOS PAC ID: 2860443637
Enrollment ID: O20050209000434 |
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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. Fayez Mikhail 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 |
|---|
Fayez Mikhail, MD
23 Mayfair Rd,
Southampton, NJ 08088-1014
Ph: (609) 587-1001 | Fayez Mikhail, MD
23 Mayfair Rd,
Southampton, NJ 08088-1014
Ph: (609) 587-1001 |
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