Mennatallah Omar, MD is a medicare enrolled "Surgery" physician in Fostoria, Ohio. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Memorial Professional Services Ltd and her current practice location is
501 Van Buren St Ste 203, Fostoria, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 355-8488.
Mennatallah Omar is licensed to practice in Ohio (license number 35144594) 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 1619359551.
Physician's Profile
| Full Name | Mennatallah Omar |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 11 Years |
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| Location | 501 Van Buren St Ste 203, Fostoria, Ohio |
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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:
- Mennatallah Omar graduated from medical school in 2015
NPI Data:
- NPI Number: 1619359551
- Provider Enumeration Date: 06/28/2015
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800190448
- Enrollment ID: I20220816001328
Medical Identifiers
Medical identifiers for Mennatallah Omar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619359551 | NPI | - | NPPES |
| 0498909 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 35144594 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Memorial Professional Services Ltd | 1456531870 | 41 |
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. Mennatallah Omar allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Professional Services Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205139623
PECOS PAC ID: 1456531870
Enrollment ID: O20110202000164 |
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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. Mennatallah Omar 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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Mennatallah Omar, MD
2281 Hayes Ave,
Fremont, OH 43420-2632
Ph: () - | Mennatallah Omar, MD
501 Van Buren St Ste 203,
Fostoria, OH 44830-1593
Ph: (419) 355-8488 |
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