Dr Shahryar Mian Farooq, DOCTOR OF MEDICINE is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chapel Hill, North Carolina. His current practice location is
101 Manning Dr, Chapel Hill, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(984) 974-1000.
Dr Shahryar Mian Farooq is licensed to practice in * (Not Available) (license number ) 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 1225614225.
Physician's Profile
| Full Name | Dr Shahryar Mian Farooq |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 101 Manning Dr, Chapel Hill, North Carolina |
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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: 1225614225
- Provider Enumeration Date: 03/20/2021
- Last Update Date: 08/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820537780
- Enrollment ID: I20240823001852
Medical Identifiers
Medical identifiers for Dr Shahryar Mian Farooq such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225614225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 2024-01114 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Shahryar Mian Farooq allows following entities to bill medicare on his behalf.
| Entity Name | University Of North Carolina At Chapel Hill |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780669200
PECOS PAC ID: 0648181156
Enrollment ID: O20031105000359 |
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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 Shahryar Mian Farooq 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 Shahryar Mian Farooq, DOCTOR OF MEDICINE
506 6th St,
Brooklyn, NY 11215-3609
Ph: (718) 780-3000 | Dr Shahryar Mian Farooq, DOCTOR OF MEDICINE
101 Manning Dr,
Chapel Hill, NC 27514-4220
Ph: (984) 974-1000 |
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