Dr Omar Khaled Selim, MD in Boston, MA

Dr Omar Khaled Selim, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Boston, Massachusetts. His current practice location is 800 Washington St # 259, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (647) 624-3401.

Dr Omar Khaled Selim is licensed to practice in New York (license number 314130) 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 1871212191.

Contact Information

	Dr Omar Khaled Selim, MD
	800 Washington St # 259, Boston, MA 02111-1552
	(647) 624-3401
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Omar Khaled Selim
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	800 Washington St # 259, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871212191
Provider Enumeration Date: 08/22/2022
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 3375929979
Enrollment ID: I20221005002412

Medical Identifiers

Medical identifiers for Dr Omar Khaled Selim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871212191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	314130 (New York)	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 Omar Khaled Selim allows following entities to bill medicare on his behalf.

Entity Name	Lgh Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174698385 PECOS PAC ID: 3173626751 Enrollment ID: O20070320000453

Entity Name	Cardiovascular Center At Tufts Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447764253 PECOS PAC ID: 3870857816 Enrollment ID: O20180430000179

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 Khaled Selim 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 Omar Khaled Selim, MD 800 Washington St # 259, Boston, MA 02111-1552 Ph: (647) 624-3401	Dr Omar Khaled Selim, MD 800 Washington St # 259, Boston, MA 02111-1552 Ph: (647) 624-3401

Reviews and Comments

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Dr Omar Khaled Selim, MD - Medicare Surgery in Boston, MA