Sophia T Haleem, DO - Medicare Emergency Medicine in Ashland, KY

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Sophia T Haleem, DO is a medicare enrolled "Emergency Medicine" physician in Ashland, Kentucky. She went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1998 and has 26 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice New Lexington Clinic, Psc, Yatesville Emergency Group, Llc, Allied West Virginia Emergency Physicians Pllc and her current practice location is 2201 Lexington Ave, Ashland, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 327-4000.

Sophia T Haleem is licensed to practice in Kentucky (license number 02878) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952334997.

Contact Information

Sophia T Haleem, DO
2201 Lexington Ave,
Ashland, KY 41101-2843
(606) 327-4000
(260) 407-8004

Map and Direction




Physician's Profile

Full NameSophia T Haleem
GenderFemale
SpecialityEmergency Medicine
Experience26 Years
Location2201 Lexington Ave, Ashland, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sophia T Haleem attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1998
  NPI Data:
  • NPI Number: 1952334997
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 04/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416903760
  • Enrollment ID: I20050330000033

Medical Identifiers

Medical identifiers for Sophia T Haleem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952334997NPI-NPPES
64099542OtherINRAIL ROAD
64099542MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 34.012480 (Ohio)Secondary
207P00000XEmergency Medicine 02878 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary's Medical CenterHuntington, WVHospital
Saint Joseph Mount SterlingMount sterling, KYHospital
Fleming County HospitalFlemingsburg, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New Lexington Clinic, Psc3476457532310
Yatesville Emergency Group, Llc135576248511
Allied West Virginia Emergency Physicians Pllc832532664810

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. Sophia T Haleem allows following entities to bill medicare on her behalf.
Entity NameNew Lexington Clinic Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803681
PECOS PAC ID: 3476457532
Enrollment ID: O20031121000103
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameFloyd Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760834345
PECOS PAC ID: 6608164488
Enrollment ID: O20161011001337
Entity NameSound Physicians Emergency Medicine Of Kentucky Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720587447
PECOS PAC ID: 6204198393
Enrollment ID: O20180330000568
Entity NameYatesville Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053946970
PECOS PAC ID: 1355762485
Enrollment ID: O20200528001097

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. Sophia T Haleem 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
Sophia T Haleem, DO
1221 S Broadway,
Lexington, KY 40504-2701

Ph: (859) 258-6200		Sophia T Haleem, DO
2201 Lexington Ave,
Ashland, KY 41101-2843

Ph: (606) 327-4000

Reviews and Comments


Emergency Medicine Doctors in Ashland, KY

Dalkeith Fitzlawson Tucker, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-408-0605    
Donald A Kraft, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-327-4000    
Dr. Franklin W Fannin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2245 Winchester Ave, Ashland, KY 41101
Phone: 606-408-2600    Fax: 606-408-2605
Ryan Johnson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 617 23rd St, Ashland, KY 41101
Phone: 606-408-8999    
Dr. Evan Hunter Mussetter, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Saint Christopher Dr, Ashland, KY 41101
Phone: 606-833-3605    
Gregory Eastham, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-327-4565    Fax: 606-327-4565
Roi Reed, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7351 Us 60, Ashland, KY 41102
Phone: 606-928-0025    Fax: 606-928-0034

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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