Davita Mabourakh Hodges, MD in Tamarac, FL - Medicare Internal Medicine

Davita Mabourakh Hodges, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Tamarac, Florida. Her current practice location is 6451 W Commercial Blvd, Tamarac, Florida. You can reach out to her office (for appointments etc.) via phone at (549) 720-1414.

Davita Mabourakh Hodges is licensed to practice in Florida (license number ME153182) 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 1639675937.

Contact Information

	Davita Mabourakh Hodges, MD
	6451 W Commercial Blvd, Tamarac, FL 33319-2110
	(549) 720-1414
	(954) 720-4727

Map and Direction

Physician's Profile

Full Name	Davita Mabourakh Hodges
Gender	Female
Speciality	Internal Medicine - Geriatric Medicine
Location	6451 W Commercial Blvd, Tamarac, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639675937
Provider Enumeration Date: 04/04/2018
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9931582632
Enrollment ID: I20230705003210

Medical Identifiers

Medical identifiers for Davita Mabourakh Hodges such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639675937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25MA11140800 (New Jersey)	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	RTL22-0632 (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	ME153182 (Florida)	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. Davita Mabourakh Hodges allows following entities to bill medicare on her behalf.

Entity Name	West Broward Internal Medicine, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871765727 PECOS PAC ID: 1951470970 Enrollment ID: O20080516000500

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. Davita Mabourakh Hodges 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
Davita Mabourakh Hodges, MD 6451 W Commercial Blvd, Tamarac, FL 33319-2110 Ph: (549) 720-1414	Davita Mabourakh Hodges, MD 6451 W Commercial Blvd, Tamarac, FL 33319-2110 Ph: (549) 720-1414

Reviews and Comments

Internal Medicine Doctors in Tamarac, FL

Dr. Javier Espinal, M.D Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 7800 N University Dr, Tamarac, FL 33321 Phone: 954-670-1170
Dr. Barry Streit, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6610 N University Dr, Suite 120, Tamarac, FL 33321 Phone: 954-720-6166 Fax: 954-720-3638
Jason Marc Haffizulla, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7875 W Commercial Blvd, Tamarac, FL 33351 Phone: 954-726-0099 Fax: 954-726-0047
Dr. Shahrad Mabourakh, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 W Commercial Blvd, Tamarac, FL 33319 Phone: 954-720-1414 Fax: 954-720-4727
Raul Calderin, Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 7800 N University Dr, Tamarac, FL 33321 Phone: 954-670-1170 Fax: 954-670-1171
Dr. Armando Victorino Rodriguez, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7686 N Nob Hill Rd, Tamarac, FL 33321 Phone: 954-597-0135
Raul O Caner, M.D. Geriatric Medicine Medicare: May Accept Medicare Assignments Practice Location: 8333 W Mcnab Rd, Suite 113, Tamarac, FL 33321 Phone: 754-222-8524 Fax: 754-222-8596

Davita Mabourakh Hodges, MD - Medicare Internal Medicine in Tamarac, FL