Hassam Jaffry, MD in Derby, CT - Medicare Internal Medicine

Hassam Jaffry, MD is a medicare enrolled "Internal Medicine" physician in Derby, Connecticut. His current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 732-1330.

Hassam Jaffry is licensed to practice in Connecticut (license number 65196) 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 1992332324.

Contact Information

	Hassam Jaffry, MD
	130 Division St, Derby, CT 06418-1326
	(203) 732-1330
	(203) 732-1332

Map and Direction

Physician's Profile

Full Name	Hassam Jaffry
Gender	Male
Speciality	Internal Medicine
Location	130 Division St, Derby, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992332324
Provider Enumeration Date: 03/25/2020
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1850766189
Enrollment ID: I20230418002676

Medical Identifiers

Medical identifiers for Hassam Jaffry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992332324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	65196 (Connecticut)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Hassam Jaffry allows following entities to bill medicare on his behalf.

Entity Name	Griffin Faculty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Hassam Jaffry 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
Hassam Jaffry, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-1330	Hassam Jaffry, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-1330

Reviews and Comments

Internal Medicine Doctors in Derby, CT

Genevieve Cecile Kela, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7327
Dr. Gerald George Fette, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332
Dr. Banya Myo Win, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 230-735-7421
Dr. Barbara Odac, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332
Dr. Howard Quentzel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7439 Fax: 203-732-1425
Dr. Mukesh Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332
Divya Mamootil, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Seymour Ave Ste 202, Derby, CT 06418 Phone: 203-732-2651 Fax: 203-732-2654

Hassam Jaffry, MD - Medicare Internal Medicine in Derby, CT