Dr Fazal I Raziq, MD in Green Bay, WI - Medicare Internal Medicine

Dr Fazal I Raziq, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Green Bay, Wisconsin. His current practice location is 1821 S Webster Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Dr Fazal I Raziq is licensed to practice in Wisconsin (license number 82694-20) 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 1265928915.

Contact Information

	Dr Fazal I Raziq, MD
	1821 S Webster Ave, Green Bay, WI 54301-2253
	(920) 496-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Fazal I Raziq
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	1821 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265928915
Provider Enumeration Date: 07/05/2018
Last Update Date: 12/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0143623520
Enrollment ID: I20240709003210

Medical Identifiers

Medical identifiers for Dr Fazal I Raziq such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265928915	NPI	-	NPPES
100276589	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301115856 (Michigan)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	4301504715 (Michigan)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	4301504715 (Michigan)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	82694-20 (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 Fazal I Raziq allows following entities to bill medicare on his behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Clare Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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 Fazal I Raziq 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 Fazal I Raziq, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Dr Fazal I Raziq, MD 1821 S Webster Ave, Green Bay, WI 54301-2253 Ph: (920) 496-4700

Reviews and Comments

Internal Medicine Doctors in Green Bay, WI

Amritha Chandrahasa Karkera, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Yaw D Berko, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Lee James Klemens, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705
Dr. Kevin L Mortara, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659
William T Witmer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305
Jay Matthew Salmon, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100
Dr. James L Napier Jr, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, #140, Green Bay, WI 54308 Phone: 920-288-8100 Fax: 920-288-8152

Dr Fazal I Raziq, MD - Medicare Internal Medicine in Green Bay, WI