Basil M Fathalla, MD in Detroit, MI

Basil M Fathalla, MD is a medicare enrolled "Pediatrics - Pediatric Rheumatology" physician in Detroit, Michigan. His current practice location is 3901 Beaubien St, Children's Hospital Of Mi, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (215) 427-5094.

Basil M Fathalla is licensed to practice in Pennsylvania (license number MD427787) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205879954.

Contact Information

	Basil M Fathalla, MD
	3901 Beaubien St, Children's Hospital Of Mi, Detroit, MI 48201-2119
	(215) 427-5094
	Not Available

Map and Direction

Physician's Profile

Full Name	Basil M Fathalla
Gender	Male
Speciality	Pediatrics - Pediatric Rheumatology
Location	3901 Beaubien St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205879954
Provider Enumeration Date: 06/13/2006
Last Update Date: 05/28/2009

Medicare PECOS Information:

PECOS PAC ID: 2264446905
Enrollment ID: I20090130000206

Medical Identifiers

Medical identifiers for Basil M Fathalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205879954	NPI	-	NPPES
1014672880001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0216X	Pediatrics - Pediatric Rheumatology	MD427787 (Pennsylvania)	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. Basil M Fathalla allows following entities to bill medicare on his behalf.

Entity Name	University Pediatricians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125

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. Basil M Fathalla 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
Basil M Fathalla, MD 4201 St. Antoine, University Pediatricians Uhc 6f Mailbox# 226, Detroit, MI 48201-4139 Ph: (313) 966-5051	Basil M Fathalla, MD 3901 Beaubien St, Children's Hospital Of Mi, Detroit, MI 48201-2119 Ph: (215) 427-5094

Reviews and Comments

Pediatrics Doctors in Detroit, MI

Dr. Ijeoma Nnodim Opara, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4201 St. Antoine Ste 6a & 6b, General Medicine Ambulatory Practice, Detroit, MI 48201 Phone: 313-745-4627 Fax: 313-966-7305
Dr. Alissa M Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 Phone: 313-745-5515 Fax: 313-745-5237
Norimitsu Kuwabara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Specialty Center, 3950 Beaubien, Detroit, MI 48201 Phone: 313-745-5906 Fax: 313-745-0955
Karolina Maksimowski, Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5260 Fax: 313-966-0665
Raffat A. Siddiqi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Medical Group - Detroit Northwest, 7800 W Outer Drive, Detroit, MI 48235 Phone: 313-653-2500 Fax: 313-653-2555
Dr. Rupa Thacker, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5533
Joshua Kim, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5870

Basil M Fathalla, MD - Medicare Pediatrics in Detroit, MI