Lailah Issac, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Davie, Florida. She went to Ohio University, College Of Osteopathic Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Sports Medicine. She is a member of the group practice Nova Southeastern University Inc and her current practice location is
3301 College Ave, Rm 1433, Davie, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 262-5590.
Lailah Issac is licensed to practice in Florida (license number OS14744) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629398441.
Physician's Profile
| Full Name | Lailah Issac |
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| Gender | Female |
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| Speciality | Sports Medicine |
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| Experience | 14 Years |
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| Location | 3301 College Ave, Davie, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Lailah Issac attended and graduated from Ohio University, College Of Osteopathic Medicine in 2010
NPI Data:
- NPI Number: 1629398441
- Provider Enumeration Date: 06/03/2010
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759510993
- Enrollment ID: I20181218003490
Medical Identifiers
Medical identifiers for Lailah Issac such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629398441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | OS14744 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nova Southeastern University Inc | 4486568896 | 78 |
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. Lailah Issac allows following entities to bill medicare on her behalf.
| Entity Name | Nova Southeastern University Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700924511
PECOS PAC ID: 4486568896
Enrollment ID: O20031118000987 |
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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. Lailah Issac 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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Lailah Issac, DO
Po Box 290370,
Davie, FL 33329-0370
Ph: (954) 262-4317 | Lailah Issac, DO
3301 College Ave, Rm 1433,
Davie, FL 33314-7722
Ph: (954) 262-5590 |
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