Dr Omar Ali Usman, MD is a medicare enrolled "General Practice" physician in Vienna, Virginia. His current practice location is
9219 Brian Dr, Vienna, Virginia. You can reach out to his office (for appointments etc.) via phone at
(248) 767-9656.
Dr Omar Ali Usman is licensed to practice in Virginia (license number 0101277935) 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 1114331196.
Physician's Profile
| Full Name | Dr Omar Ali Usman |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 9219 Brian Dr, Vienna, 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: 1114331196
- Provider Enumeration Date: 06/17/2014
- Last Update Date: 07/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274838859
- Enrollment ID: I20180425001509
Medical Identifiers
Medical identifiers for Dr Omar Ali Usman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114331196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0101277935 (Virginia) | Primary |
| 207P00000X | Emergency Medicine | 0101277935 (Virginia) | Secondary |
| 2083C0008X | Preventive Medicine - Clinical Informatics | 0101277935 (Virginia) | 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 Omar Ali Usman allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Omar Ali Usman 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 Ali Usman, MD
40764 Coachwood Cir,
Northville, MI 48168-3280
Ph: (248) 767-9656 | Dr Omar Ali Usman, MD
9219 Brian Dr,
Vienna, VA 22180-6116
Ph: (248) 767-9656 |
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