Marina S Habib, is a
Physician Assistant - Medical based in College Dale, Tennessee. Marina S Habib is licensed to practice in Tennessee (license number ) and her current practice location is
6059 Arbury Way # 101, College Dale, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 238-8880.
NPI number for Marina S Habib is 1619884590 and her current mailing address is 6965 Cumberland Gap Pkwy, Harrogate, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619884590.
Provider's Profile
| Full Name | Marina S Habib |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 6059 Arbury Way # 101, College Dale, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619884590
- Provider Enumeration Date: 08/26/2026
- Last Update Date: 09/01/2026
Medical Identifiers
Medical identifiers for Marina S Habib such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619884590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (Tennessee) | Primary |
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. Marina S Habib is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marina S Habib,
6965 Cumberland Gap Pkwy,
Harrogate, TN 37752-8245
Ph: Not Available | Marina S Habib,
6059 Arbury Way # 101,
College Dale, TN 37363-5001
Ph: (423) 238-8880 |
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