Hisham Hatoum, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" physician in Wilmington, North Carolina. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Louisiana State University School Of Medicine In New Orleans Faculty G and his current practice location is
1725 New Hanover Medical Park Dr, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 662-9331.
Hisham Hatoum is licensed to practice in North Carolina (license number 2021-00547) 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 1427372879.
Physician's Profile
| Full Name | Hisham Hatoum |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 11 Years |
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| Location | 1725 New Hanover Medical Park Dr, Wilmington, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Hisham Hatoum graduated from medical school in 2014
NPI Data:
- NPI Number: 1427372879
- Provider Enumeration Date: 03/15/2010
- Last Update Date: 07/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002210200
- Enrollment ID: I20230602001252
Medical Identifiers
Medical identifiers for Hisham Hatoum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427372879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 2021-00547 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 2021-00547 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Louisiana State University School Of Medicine In New Orleans Faculty G | 0244136448 | 409 |
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. Hisham Hatoum allows following entities to bill medicare on his behalf.
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477582526
PECOS PAC ID: 0244136448
Enrollment ID: O20031209000661 |
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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. Hisham Hatoum 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 |
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Hisham Hatoum, MD, DDS
Po Box 936857,
Atlanta, GA 31193-6857
Ph: () - | Hisham Hatoum, MD, DDS
1725 New Hanover Medical Park Dr,
Wilmington, NC 28403-5345
Ph: (910) 662-9331 |
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