Mr Mohammad Fateh Ismail, MD in Anniston, AL

Mr Mohammad Fateh Ismail, MD is a medicare enrolled "Internal Medicine" physician in Anniston, Alabama. His current practice location is Staff Of Life Medical Corp Pc, 1011 Leighton Ave, Anniston, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 770-7197.

Mr Mohammad Fateh Ismail is licensed to practice in Alabama (license number 19946) 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 1700811072.

Contact Information

	Mr Mohammad Fateh Ismail, MD
	Staff Of Life Medical Corp Pc, 1011 Leighton Ave, Anniston, AL 36207-5701
	(256) 770-7197
	(256) 405-4439

Map and Direction

Physician's Profile

Full Name	Mr Mohammad Fateh Ismail
Gender	Male
Speciality	Internal Medicine
Location	Staff Of Life Medical Corp Pc, Anniston, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700811072
Provider Enumeration Date: 07/12/2006
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 1153301577
Enrollment ID: I20040724000262

Medical Identifiers

Medical identifiers for Mr Mohammad Fateh Ismail such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700811072	NPI	-	NPPES
158627	Medicaid	AL
51518333	Other	AL	BLUE CROSS
139280	Medicaid	AL
141757	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	19946 (Alabama)	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. Mr Mohammad Fateh Ismail allows following entities to bill medicare on his behalf.

Entity Name	The Health Care Authority Of The City Of Anniston
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003996000 PECOS PAC ID: 3971408923 Enrollment ID: O20031203000272

Entity Name	Staff Of Life Medical Corporation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144301128 PECOS PAC ID: 2466432877 Enrollment ID: O20040724000188

Entity Name	App Of Alabama Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174

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. Mr Mohammad Fateh Ismail 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
Mr Mohammad Fateh Ismail, MD 1011 Leighton Ave, Anniston, AL 36207-5701 Ph: (256) 770-7197	Mr Mohammad Fateh Ismail, MD Staff Of Life Medical Corp Pc, 1011 Leighton Ave, Anniston, AL 36207-5701 Ph: (256) 770-7197

Reviews and Comments

Internal Medicine Doctors in Anniston, AL

Dr. Rohit G Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Keith Ave, Anniston, AL 36207 Phone: 256-236-8611 Fax: 256-236-8636
Venugopala S Bheemanathini, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 522 E 11th St, Suite 200, Anniston, AL 36207 Phone: 256-237-5302 Fax: 256-237-5368
Vishala Chindalore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Christine Ave, Anniston, AL 36207 Phone: 256-236-5631 Fax: 256-236-5637
Dr. Chidiebere Maquincy Ibekwe, M.D, MPH, FACP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5639
Wyndol Span Hamer Jr., M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 Christine Ave, Suite 102, Anniston, AL 36207 Phone: 256-294-7004 Fax: 256-294-7005
Almena Free, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-236-5631 Fax: 256-236-5335
Mohamed Jasser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Leighton Ave, Suite 307, Anniston, AL 36207 Phone: 256-231-8636 Fax: 256-231-8684

Mr Mohammad Fateh Ismail, MD - Medicare Internal Medicine in Anniston, AL