Dr Fidaa J M Wishah, MD - Medicare Radiology in Phoenix, AZ

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Dr Fidaa J M Wishah, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Phoenix, Arizona. Her current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 933-1213.

Dr Fidaa J M Wishah is licensed to practice in Arizona (license number 58073) 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 1285936518.

Contact Information

Dr Fidaa J M Wishah, MD
1919 E Thomas Rd,
Phoenix, AZ 85016
(602) 933-1213
(602) 933-1214

Map and Direction




Physician's Profile

Full NameDr Fidaa J M Wishah
GenderFemale
SpecialityRadiology - Pediatric Radiology
Location1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285936518
  • Provider Enumeration Date: 11/18/2010
  • Last Update Date: 01/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688969207
  • Enrollment ID: I20180517000991

Medical Identifiers

Medical identifiers for Dr Fidaa J M Wishah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285936518NPI-NPPES
000999512OtherMIDMC CARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085P0229XRadiology - Pediatric Radiology A153510 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology A153510 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology E-15973 (Arkansas)Secondary
2085P0229XRadiology - Pediatric Radiology 58073 (Arizona)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 Fidaa J M Wishah allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232

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 Fidaa J M Wishah 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 AddressPractice Location Address
Dr Fidaa J M Wishah, MD
3200 E Camelback Rd Ste 250,
Phoenix, AZ 85018-2327

Ph: (602) 933-1813		Dr Fidaa J M Wishah, MD
1919 E Thomas Rd,
Phoenix, AZ 85016

Ph: (602) 933-1213

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.