Dr Hani Issa, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Penny Farms, Florida. His current practice location is
2 Pavillon Place, Penny Farms, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 388-3351.
Dr Hani Issa is licensed to practice in Florida (license number ME133628) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619144045.
Physician's Profile
Full Name | Dr Hani Issa |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2 Pavillon Place, Penny Farms, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Hani Issa attended and graduated from in
NPI Data:
- NPI Number: 1619144045
- Provider Enumeration Date: 05/14/2008
- Last Update Date: 08/27/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Hani Issa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619144045 | NPI | - | NPPES |
ME133628 | Other | FL | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 125050623 (Illinois) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | ME133628 (Florida) | Primary |
207R00000X | Internal Medicine | ME133628 (Florida) | Secondary |
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 Hani Issa 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 Hani Issa, MD 1907 Atlantic Blvd, Jacksonville, FL 32207-3405 Ph: (043) 883-3519 | Dr Hani Issa, MD 2 Pavillon Place, Penny Farms, FL 32079 Ph: (904) 388-3351 |
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