Samar Fawaz, in Palm Bay, FL - Medicare Physician Assistant

Samar Fawaz, is a medicare enrolled "Physician Assistant" in Palm Bay, Florida. Her current practice location is 175 Villa Nueva Ave Ne, Palm Bay, Florida. You can reach out to her office (for appointments etc.) via phone at (313) 574-2965.

Samar Fawaz is licensed to practice in Florida (license number PA9111341) 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 1548779580.

Contact Information

	Samar Fawaz,
	175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595
	(313) 574-2965
	(321) 603-3560

Map and Direction

Provider's Profile

Full Name	Samar Fawaz
Gender	Female
Speciality	Physician Assistant
Location	175 Villa Nueva Ave Ne, Palm Bay, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548779580
Provider Enumeration Date: 09/21/2017
Last Update Date: 10/31/2018

Medicare PECOS Information:

PECOS PAC ID: 6901172931
Enrollment ID: I20171019000599

Medical Identifiers

Medical identifiers for Samar Fawaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548779580	NPI	-	NPPES
P02091188	Other	FL	RRMEDICARE PTAN
101048700	Medicaid	FL
JL436Z	Other	FL	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601008292 (Michigan)	Secondary
363A00000X	Physician Assistant	PA9111341 (Florida)	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. Samar Fawaz 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
Samar Fawaz, 2065 Highway A1a Apt 1403, Indian Harbour Beach, FL 32937-1811 Ph: (313) 574-2965	Samar Fawaz, 175 Villa Nueva Ave Ne, Palm Bay, FL 32907-2595 Ph: (313) 574-2965

Reviews and Comments

Physician Assistant Nurses in Palm Bay, FL

Ms. Jeanette Marie Gluck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5070 Minton Rd Nw Ste 3, Palm Bay, FL 32907 Phone: 321-768-1600 Fax: 321-255-2361
Karen Paz, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 San Filippo Dr Se, Palm Bay, FL 32909 Phone: 321-725-8300 Fax: 321-725-1555
Garion Rivera, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1841 Sandia Rd Se, Palm Bay, FL 32909 Phone: 423-902-5520
Mrs. Jessica Regan, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905 Phone: 321-241-6800 Fax: 321-241-6890
Bryan James Carey, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 741 Dinner St Ne, Palm Bay, FL 32907 Phone: 636-577-0267
Maria L Fortington, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907 Phone: 321-768-1600 Fax: 321-799-4903
Mr. Martin Antony Fidelia, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1421 Malabar Rd Ne, Physicians Office Bldg #200, Palm Bay, FL 32907 Phone: 321-308-2660 Fax: 321-984-9303

Samar Fawaz, - Medicare Physician Assistant in Palm Bay, FL