Amanullah Siddiqi, MD is a medicare enrolled "Internal Medicine" physician in Bean Station, Tennessee. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Emergency Coverage Llc and his current practice location is
1285 Highway 11w, Bean Station, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 993-4300.
Amanullah Siddiqi is licensed to practice in Tennessee (license number MD27361) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780682906.
Physician's Profile
Full Name | Amanullah Siddiqi |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 35 Years |
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Location | 1285 Highway 11w, Bean Station, Tennessee |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanullah Siddiqi graduated from medical school in 1989
NPI Data:
- NPI Number: 1780682906
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 06/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 0042289316
- Enrollment ID: I20041002000128
Medical Identifiers
Medical identifiers for Amanullah Siddiqi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780682906 | NPI | - | NPPES |
3097419 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD27361 (Tennessee) | Secondary |
208M00000X | Hospitalist | MD27361 (Tennessee) | Secondary |
207R00000X | Internal Medicine | MD27361 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Emergency Coverage Llc | 3072412592 | 391 |
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. Amanullah Siddiqi allows following entities to bill medicare on his behalf.
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
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Entity Name | Emergency Coverage Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
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Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
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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. Amanullah Siddiqi 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 |
Amanullah Siddiqi, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Amanullah Siddiqi, MD 1285 Highway 11w, Bean Station, TN 37708 Ph: (865) 993-4300 |
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