Mazen Magdy Khalil Osman, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Fairbanks, Alaska. His current practice location is
1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 458-5650.
Mazen Magdy Khalil Osman is licensed to practice in Alaska (license number 203383) 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 1760987150.
Physician's Profile
| Full Name | Mazen Magdy Khalil Osman |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 1650 Cowles St, Fairbanks, Alaska |
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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: 1760987150
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 08/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092062000
- Enrollment ID: I20230831003474
Medical Identifiers
Medical identifiers for Mazen Magdy Khalil Osman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760987150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 66677 (Minnesota) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 29190 (Minnesota) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 203383 (Alaska) | 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. Mazen Magdy Khalil Osman allows following entities to bill medicare on his behalf.
| Entity Name | Pathology Consultants Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316997794
PECOS PAC ID: 5193616720
Enrollment ID: O20040323001196 |
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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. Mazen Magdy Khalil Osman 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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Mazen Magdy Khalil Osman,
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Mazen Magdy Khalil Osman,
1650 Cowles St,
Fairbanks, AK 99701-5907
Ph: (907) 458-5650 |
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