Beatrice Fatima Bachour, PA-C is a medicare enrolled "Physician Assistant - Medical" in Henning, Tennessee. Her current practice location is
480 Green Chapel Rd, Henning, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 738-5044.
Beatrice Fatima Bachour is licensed to practice in Tennessee (license number 3002) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194171009.
Provider's Profile
| Full Name | Beatrice Fatima Bachour |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 480 Green Chapel Rd, Henning, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194171009
- Provider Enumeration Date: 05/10/2016
- Last Update Date: 07/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820353436
- Enrollment ID: I20180601001262
Medical Identifiers
Medical identifiers for Beatrice Fatima Bachour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194171009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 3002 (Tennessee) | Primary |
| 363AM0700X | Physician Assistant - Medical | 5601007739 (Michigan) | Secondary |
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. Beatrice Fatima Bachour 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 |
|---|
Beatrice Fatima Bachour, PA-C
480 Green Chapel Rd,
Henning, TN 38041-5726
Ph: (731) 738-5044 | Beatrice Fatima Bachour, PA-C
480 Green Chapel Rd,
Henning, TN 38041-5726
Ph: (731) 738-5044 |
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