Dr Fuzail Ul Haq, DNP, AGPCNP-BC is a medicare enrolled "Nurse Practitioner" physician in Winston Salem, North Carolina. His current practice location is
5093 University Pkwy, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 883-0029.
Dr Fuzail Ul Haq is licensed to practice in North Carolina (license number 5016885) 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 1124749155.
Physician's Profile
Full Name | Dr Fuzail Ul Haq |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 5093 University Pkwy, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124749155
- Provider Enumeration Date: 09/07/2022
- Last Update Date: 07/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052772605
- Enrollment ID: I20230731001477
Medical Identifiers
Medical identifiers for Dr Fuzail Ul Haq such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124749155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | 5016885 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5016885 (North Carolina) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 5016885 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5016885 (North Carolina) | 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 Fuzail Ul Haq allows following entities to bill medicare on his behalf.
Entity Name | Bethany Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952404188 PECOS PAC ID: 4486614575 Enrollment ID: O20041013000729 |
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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 Fuzail Ul Haq 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 Fuzail Ul Haq, DNP, AGPCNP-BC 645 N Main St, High Point, NC 27260-5017 Ph: (336) 883-0029 | Dr Fuzail Ul Haq, DNP, AGPCNP-BC 5093 University Pkwy, Winston Salem, NC 27106-6085 Ph: (336) 883-0029 |
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