Miss Khadijah Hafsa Bah, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Forney, Texas. Her current practice location is
6107 Gritten Dr, Forney, Texas. You can reach out to her office (for appointments etc.) via phone at
(301) 281-7052.
Miss Khadijah Hafsa Bah is licensed to practice in Texas (license number 1060344) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063170066.
Physician's Profile
Full Name | Miss Khadijah Hafsa Bah |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 6107 Gritten Dr, Forney, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063170066
- Provider Enumeration Date: 12/07/2021
- Last Update Date: 12/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032502497
- Enrollment ID: I20220207001665
Medical Identifiers
Medical identifiers for Miss Khadijah Hafsa Bah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063170066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0000X | Family Medicine - Adolescent Medicine | 1060344 (Texas) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | 1060344 (Texas) | Secondary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | 1060344 (Texas) | Secondary |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 1060344 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1060344 (Texas) | 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. Miss Khadijah Hafsa Bah allows following entities to bill medicare on her behalf.
Entity Name | Holy Cross Obgyn |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720581432 PECOS PAC ID: 7214291905 Enrollment ID: O20180504000988 |
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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. Miss Khadijah Hafsa Bah 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 |
Miss Khadijah Hafsa Bah, FNP 6107 Gritten Dr, Forney, TX 75126-4169 Ph: (301) 281-7052 | Miss Khadijah Hafsa Bah, FNP 6107 Gritten Dr, Forney, TX 75126-4169 Ph: (301) 281-7052 |
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