Dr Anissa Hashemi-awwal, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Mountain Lakes, New Jersey. Her current practice location is
115 Us Highway 46 Ste B12, Mountain Lakes, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 265-0888.
Dr Anissa Hashemi-awwal is licensed to practice in New Jersey (license number 25MD00340700) 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 1700294303.
Healthcare Provider's Profile
| Full Name | Dr Anissa Hashemi-awwal |
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| Gender | Female |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 115 Us Highway 46 Ste B12, Mountain Lakes, New Jersey |
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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: 1700294303
- Provider Enumeration Date: 07/27/2014
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365853058
- Enrollment ID: I20250515003017
Medical Identifiers
Medical identifiers for Dr Anissa Hashemi-awwal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700294303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00340700 (New Jersey) | 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. Dr Anissa Hashemi-awwal allows following entities to bill medicare on her behalf.
| Provider Name | Nj Ankle Pain Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225810435
PECOS PAC ID: 3476079617
Enrollment ID: O20250430001622 |
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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. Dr Anissa Hashemi-awwal 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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Dr Anissa Hashemi-awwal, DPM
115 Us Highway 46 Ste B12,
Mountain Lakes, NJ 07046-1656
Ph: (973) 265-0888 | Dr Anissa Hashemi-awwal, DPM
115 Us Highway 46 Ste B12,
Mountain Lakes, NJ 07046-1656
Ph: (973) 265-0888 |
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