Mohannad Fadl Azzam, MD - Medicare Internal Medicine in Birmingham, AL

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Mohannad Fadl Azzam, MD is a medicare enrolled "Internal Medicine" physician in Birmingham, Alabama. His current practice location is 619 19th St S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 934-4794.

Mohannad Fadl Azzam is licensed to practice in Alabama (license number MD30737) 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 1013141951.

Contact Information

Mohannad Fadl Azzam, MD
619 19th St S,
Birmingham, AL 35249-1900
(205) 934-4794
Not Available

Map and Direction




Physician's Profile

Full NameMohannad Fadl Azzam
GenderMale
SpecialityInternal Medicine
Location619 19th St S, Birmingham, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013141951
  • Provider Enumeration Date: 05/06/2009
  • Last Update Date: 06/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7911167564
  • Enrollment ID: I20120320000261

Medical Identifiers

Medical identifiers for Mohannad Fadl Azzam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013141951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD30737 (Alabama)Primary
208M00000XHospitalist 30737 (Alabama)Secondary

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. Mohannad Fadl Azzam allows following entities to bill medicare on his behalf.
Entity NameAzzam Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801203369
PECOS PAC ID: 0244459485
Enrollment ID: O20140919001445
Entity NameConcentric Hospitalist Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740667138
PECOS PAC ID: 4082926449
Enrollment ID: O20150629001028
Entity NameOak Mountain Group Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366840761
PECOS PAC ID: 3678886256
Enrollment ID: O20150727000323
Entity NameDiverse Medical Management, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235548504
PECOS PAC ID: 5395965024
Enrollment ID: O20180215002874

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. Mohannad Fadl Azzam 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 AddressPractice Location Address
Mohannad Fadl Azzam, MD
Po Box 361585,
Hoover, AL 35236-1585

Ph: (205) 934-4794		Mohannad Fadl Azzam, MD
619 19th St S,
Birmingham, AL 35249-1900

Ph: (205) 934-4794

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.