Dr Farrukh Ghazala, MD in Milwaukee, WI - Medicare Marriage & Family Therapist Provider

Dr Farrukh Ghazala, MD is a medicare enrolled "Marriage & Family Therapist" provider in Milwaukee, Wisconsin. Her current practice location is 3200 W Highland Blvd, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 342-4560.

Dr Farrukh Ghazala is licensed to practice in Wisconsin (license number 298-228) 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 1104179019.

Contact Information

	Dr Farrukh Ghazala, MD
	3200 W Highland Blvd, Milwaukee, WI 53208-3252
	(414) 342-4560
	(414) 342-5326

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Farrukh Ghazala
Gender	Female
Speciality	Marriage & Family Therapist
Location	3200 W Highland Blvd, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104179019
Provider Enumeration Date: 10/17/2012
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4183074495
Enrollment ID: I20231229000001

Medical Identifiers

Medical identifiers for Dr Farrukh Ghazala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104179019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	298-228 (Wisconsin)	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 Farrukh Ghazala allows following entities to bill medicare on her behalf.

Entity Name	Shorehaven Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598800740 PECOS PAC ID: 0143324954 Enrollment ID: O20070404000380

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 Farrukh Ghazala 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
Dr Farrukh Ghazala, MD 11420 N Justin Dr, Mequon, WI 53092-2784 Ph: (414) 331-0168	Dr Farrukh Ghazala, MD 3200 W Highland Blvd, Milwaukee, WI 53208-3252 Ph: (414) 342-4560

Reviews and Comments

Marriage & Family Therapist in Milwaukee, WI

Ms. Jennifer Ann Jones, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3200 W Highland Blvd, Milwaukee, WI 53208 Phone: 414-345-4940
Musserat Mirza, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1020 N 12th St Ste 200, Milwaukee, WI 53233 Phone: 414-773-4312
Kevin P O'brien, LCSW, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 620 S 76th St, Milwaukee, WI 53214 Phone: 414-453-1400 Fax: 414-453-2538
Ms. Eileen Mcclendon, M.S., M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3200 W Highland Blvd, Milwaukee, WI 53208 Phone: 414-342-4560 Fax: 414-345-4934
Emma J Williams, LCSW, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 161 W Wisconsin Ave, Ste 5190, Milwaukee, WI 53203 Phone: 414-272-5005 Fax: 414-272-3760
Ms. Coleen Haas Smith, MAPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3200 W Highland Blvd, Milwaukee, WI 53208 Phone: 414-345-4941 Fax: 414-342-5326
Tricia M Krippel, LPC, MFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 620 S 76th St, Milwaukee, WI 53214 Phone: 414-453-1400 Fax: 414-453-2538

Dr Farrukh Ghazala, MD - Medicare Couples Therapy in Milwaukee, WI