Omar H Hilal, MD - Medicare Emergency Medicine in Flushing, NY

Omar H Hilal, MD is a medicare enrolled "Emergency Medicine" physician in Flushing, New York. He went to Drexel University College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Cep America Llc, Franciscan Medical Group and his current practice location is 5645 Main St, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 661-7305.

Omar H Hilal is licensed to practice in Washington (license number MD61283451) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154828564.

Contact Information

Omar H Hilal, MD
5645 Main St,
Flushing, NY 11355-5045
(718) 661-7305
Not Available

Map and Direction




Physician's Profile

Full NameOmar H Hilal
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location5645 Main St, Flushing, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Omar H Hilal attended and graduated from Drexel University College Of Medicine in 2018
  NPI Data:
  • NPI Number: 1154828564
  • Provider Enumeration Date: 04/11/2018
  • Last Update Date: 07/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789083452
  • Enrollment ID: I20220624001284

Medical Identifiers

Medical identifiers for Omar H Hilal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154828564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 35.141686 (Ohio)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine MD61283451 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peacehealth St John Medical CenterLongview, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America Llc6608056171575
Franciscan Medical Group05471738661115

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. Omar H Hilal allows following entities to bill medicare on his behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447484274
PECOS PAC ID: 6608056171
Enrollment ID: O20130213000571

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. Omar H Hilal 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
Omar H Hilal, MD
10 High St,
Demarest, NJ 07627-1607

Ph: (201) 450-4887
Omar H Hilal, MD
5645 Main St,
Flushing, NY 11355-5045

Ph: (718) 661-7305

Reviews and Comments


Emergency Medicine Doctors in Flushing, NY

Diane M Sixsmith, MD
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Mark Guevorkian,
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Dr. Jamie Alison Edelstein, M.D.
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Brenda Lee-hao Liu, MD
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David Barlas, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 56-45 Main Street, New York Hospital Medical Center Of Queens - Emergency, Flushing, NY 11355
Phone: 718-670-1231    Fax: 610-617-6280
Mitchell Melikhov-sosin, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 56-45 Main Street, Flushing, NY 11355
Phone: 718-661-7305    

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).

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