Samir Hasan, - Medicare Surgery in Englewood, CO

Samir Hasan, is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Englewood, Colorado. His current practice location is 3333 S Bannock St, Englewood, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 677-5649.

Samir Hasan is licensed to practice in Colorado (license number 65914) 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 1063825768.

Contact Information

Samir Hasan,
3333 S Bannock St,
Englewood, CO 80110-2432
(720) 677-5649
Not Available

Map and Direction




Physician's Profile

Full NameSamir Hasan
GenderMale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location3333 S Bannock St, Englewood, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063825768
  • Provider Enumeration Date: 06/10/2014
  • Last Update Date: 05/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022310416
  • Enrollment ID: I20200803001811

Medical Identifiers

Medical identifiers for Samir Hasan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063825768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 301986 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery 65914 (Colorado)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. Samir Hasan allows following entities to bill medicare on his behalf.
Entity NameUniversity Physicians Of Brooklyn, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538116082
PECOS PAC ID: 0749192284
Enrollment ID: O20040728001520

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. Samir Hasan 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
Samir Hasan,
3333 S Bannock St Ste 150,
Englewood, CO 80110-2514

Ph: (720) 677-5649
Samir Hasan,
3333 S Bannock St,
Englewood, CO 80110-2432

Ph: (720) 677-5649

Reviews and Comments


Surgery Doctors in Englewood, CO

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Eric O Kortz, MD
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Anthony P Cheng, MD
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Practice Location: 501 E Hampden Ave, Englewood, CO 80113
Phone: 303-788-5300    

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.