| Mohammed A Hannan, MD | |
|
2149 Valleygate Dr, Fayetteville, NC 28304-3666 | |
| (910) 484-5366 | |
| (910) 223-0583 |
| Full Name | Mohammed A Hannan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 2149 Valleygate Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417906520 | NPI | - | NPPES |
| 8912114 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 99-00524 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 9900524 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healthkeeperz | Fayetteville, NC | Home health agency |
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Internal Medicine Inc | 1658331327 | 2 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | Valley Internal Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528011137 PECOS PAC ID: 1658331327 Enrollment ID: O20041016000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed A Hannan, MD Po Box 87507, Fayetteville, NC 28304-3666 Ph: (910) 484-5366 | Mohammed A Hannan, MD 2149 Valleygate Dr, Fayetteville, NC 28304-3666 Ph: (910) 484-5366 |
Kenneth Melton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Stephen S Logue, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258 | |
David Tat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110 | |
Dr. Ghanshyam Pradyumna Dwivedi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |