Dr Hassan A Tetteh, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Fairfax, Virginia. His current practice location is
8081 Innovation Park Dr Ste 800, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at
(571) 472-4600.
Dr Hassan A Tetteh is licensed to practice in Virginia (license number 0101245216) 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 1730346156.
Physician's Profile
| Full Name | Dr Hassan A Tetteh |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 8081 Innovation Park Dr Ste 800, Fairfax, Virginia |
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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: 1730346156
- Provider Enumeration Date: 05/22/2008
- Last Update Date: 09/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032247259
- Enrollment ID: I20170406000285
Medical Identifiers
Medical identifiers for Dr Hassan A Tetteh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730346156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 217604 (New York) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 0101245216 (Virginia) | Primary |
| 208600000X | Surgery | 217604 (New York) | Secondary |
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 Hassan A Tetteh allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Hospital Of Buffalo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164464921
PECOS PAC ID: 8729991666
Enrollment ID: O20040702001253 |
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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 Hassan A Tetteh 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 |
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Dr Hassan A Tetteh, MD
580 E 94th St,
Brooklyn, NY 11236-1104
Ph: (917) 568-8400 | Dr Hassan A Tetteh, MD
8081 Innovation Park Dr Ste 800,
Fairfax, VA 22031-4867
Ph: (571) 472-4600 |
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