Dr Omar Hasan, is a
Student In An Organized Health Care Education/training Program physician based in Jackson, Mississippi. Dr Omar Hasan is licensed to practice in Mississippi (license number T-5146) and his current practice location is 2500 N State St # N408, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 984-2828.
NPI number for Dr Omar Hasan is 1124681705 and his current mailing address is 4639 Kirkley Dr, Jackson, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124681705.
Physician's Profile
| Full Name | Dr Omar Hasan |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2500 N State St # N408, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124681705
- Provider Enumeration Date: 04/18/2019
- Last Update Date: 07/10/2023
Medical Identifiers
Medical identifiers for Dr Omar Hasan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124681705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | ME160204 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | T-5146 (Mississippi) | Primary |
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 Omar Hasan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Omar Hasan,
4639 Kirkley Dr,
Jackson, MS 39206-3301
Ph: (210) 965-7501 | Dr Omar Hasan,
2500 N State St # N408,
Jackson, MS 39216-4500
Ph: (601) 984-2828 |
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