Tanveer-e-fatema Roshanali Hassam, MD is a medicare enrolled "Hospitalist" physician in Owatonna, Minnesota. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is
2200 Nw 26th St, Owatonna, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(451) 112-0507.
Tanveer-e-fatema Roshanali Hassam is licensed to practice in Minnesota (license number 64533) 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 1073930004.
Physician's Profile
| Full Name | Tanveer-e-fatema Roshanali Hassam |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 10 Years |
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| Location | 2200 Nw 26th St, Owatonna, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tanveer-e-fatema Roshanali Hassam graduated from medical school in 2014
NPI Data:
- NPI Number: 1073930004
- Provider Enumeration Date: 03/27/2014
- Last Update Date: 04/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597036285
- Enrollment ID: I20220202001840
Medical Identifiers
Medical identifiers for Tanveer-e-fatema Roshanali Hassam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073930004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 64533 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | 64533 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Medical Pc | 3375701568 | 5099 |
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. Tanveer-e-fatema Roshanali Hassam allows following entities to bill medicare on her behalf.
| Entity Name | Weill Medical College Of Cornell |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124170212
PECOS PAC ID: 6800709023
Enrollment ID: O20031118000661 |
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| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Tanveer-e-fatema Roshanali Hassam 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 |
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Tanveer-e-fatema Roshanali Hassam, MD
2200 Nw 26th St,
Owatonna, MN 55060-5503
Ph: () - | Tanveer-e-fatema Roshanali Hassam, MD
2200 Nw 26th St,
Owatonna, MN 55060-5503
Ph: (451) 112-0507 |
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