Theodoros Hailu, MD in Lauderdale Lakes, FL - Medicare Emergency Medicine

Theodoros Hailu, MD is a medicare enrolled "Emergency Medicine" physician in Lauderdale Lakes, Florida. His current practice location is 5000 W Oakland Park Blvd, Lauderdale Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 730-2750.

Theodoros Hailu is licensed to practice in Florida (license number ME0089942) 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 1003880774.

Contact Information

	Theodoros Hailu, MD
	5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503
	(954) 730-2750
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodoros Hailu
Gender	Male
Speciality	Emergency Medicine
Location	5000 W Oakland Park Blvd, Lauderdale Lakes, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003880774
Provider Enumeration Date: 02/17/2006
Last Update Date: 06/09/2008

Medicare PECOS Information:

PECOS PAC ID: 5698754059
Enrollment ID: I20041228000083

Medical Identifiers

Medical identifiers for Theodoros Hailu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003880774	NPI	-	NPPES
270988100	Medicaid	FL
50653	Other	FL	BCBS
P00290620	Other	FL	RR MCR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	ME0089942 (Florida)	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. Theodoros Hailu allows following entities to bill medicare on his behalf.

Entity Name	Paragon Contracting Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148

Entity Name	Duval Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053645465 PECOS PAC ID: 5991846370 Enrollment ID: O20100107000235

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. Theodoros Hailu 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
Theodoros Hailu, MD Po Box 863481, Orlando, FL 32886-3481 Ph: (800) 514-1494	Theodoros Hailu, MD 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 Ph: (954) 730-2750

Reviews and Comments

Emergency Medicine Doctors in Lauderdale Lakes, FL

Louis Isaacson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-730-2750
Dr. Brian Edward Levy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 786-792-0687
Mezeda Meze Sainvil, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Nw 38th Ave, Lauderdale Lakes, FL 33309 Phone: 561-703-2828
Rakesh Khanna, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-730-2750
Ramon Vidal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-730-2750 Fax: 904-346-0113
Barry Weiss, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-730-2750

Theodoros Hailu, MD - Medicare Emergency Medicine in Lauderdale Lakes, FL