Dr Abid Hussain, MD is a medicare enrolled "Pediatrics" physician in Mayfield, Kentucky. His current practice location is
417 S 6th St, Mayfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 247-1104.
Dr Abid Hussain is licensed to practice in Kentucky (license number 41115) 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 1164620340.
Physician's Profile
| Full Name | Dr Abid Hussain |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 417 S 6th St, Mayfield, Kentucky |
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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: 1164620340
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284709973
- Enrollment ID: I20080814000313
Medical Identifiers
Medical identifiers for Dr Abid Hussain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164620340 | NPI | - | NPPES |
| 41115 | Other | KY | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 41115 (Kentucky) | 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 Abid Hussain allows following entities to bill medicare on his behalf.
| Entity Name | Pinelake Physician Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295960532
PECOS PAC ID: 6800797507
Enrollment ID: O20040115001094 |
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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 Abid Hussain 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 Abid Hussain, MD
417 S 6th St,
Mayfield, KY 42066-2311
Ph: (270) 247-1104 | Dr Abid Hussain, MD
417 S 6th St,
Mayfield, KY 42066-2311
Ph: (270) 247-1104 |
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