Shafiq Ur Rahman, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in W Hazleton, Pennsylvania. He graduated from medical school in 1981 and has 44 years of diverse experience with area of expertise as Psychiatry. His current practice location is
116 N 5th St, W Hazleton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 454-2545.
Shafiq Ur Rahman is licensed to practice in Pennsylvania (license number MD053911-L) 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 1689759441.
Physician's Profile
| Full Name | Shafiq Ur Rahman |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 44 Years |
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| Location | 116 N 5th St, W Hazleton, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shafiq Ur Rahman graduated from medical school in 1981
NPI Data:
- NPI Number: 1689759441
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517065949
- Enrollment ID: I20070608000448
Medical Identifiers
Medical identifiers for Shafiq Ur Rahman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689759441 | NPI | - | NPPES |
| 0015129990009 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD053911-L (Pennsylvania) | Primary |
Medical Facilities Affiliation
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. Shafiq Ur Rahman allows following entities to bill medicare on his behalf.
| Entity Name | Early Psychiatric & Counseling Service, P.c |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831390343 PECOS PAC ID: 0941308373 Enrollment ID: O20070608000470 |
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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. Shafiq Ur Rahman 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 |
Shafiq Ur Rahman, MD Po Box 100, Mountain Top, PA 18707-0100 Ph: (570) 454-2545 | Shafiq Ur Rahman, MD 116 N 5th St, W Hazleton, PA 18202-3946 Ph: (570) 454-2545 |
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