Dr Shiraz Farooq, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Tampa, Florida. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Colorectal Surgery (proctology). His current practice location is
2313 W Violet St Ste A, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 278-6430.
Dr Shiraz Farooq is licensed to practice in Florida (license number ME108308) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205970431.
Physician's Profile
| Full Name | Dr Shiraz Farooq |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 28 Years |
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| Location | 2313 W Violet St Ste A, Tampa, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shiraz Farooq graduated from medical school in 1996
NPI Data:
- NPI Number: 1205970431
- Provider Enumeration Date: 02/19/2007
- Last Update Date: 03/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254307747
- Enrollment ID: I20101217000110
Medical Identifiers
Medical identifiers for Dr Shiraz Farooq such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205970431 | NPI | - | NPPES |
| 002743100 | Medicaid | FL | |
| 149U4 | Other | FL | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD19555 (Maine) | Secondary |
| 208600000X | Surgery | ME108308 (Florida) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | MD19555 (Maine) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD19555 (Maine) | Secondary |
| 208C00000X | Colon & Rectal Surgery | ME108308 (Florida) | Primary |
Medical Facilities Affiliation
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 Shiraz Farooq allows following entities to bill medicare on his behalf.
| Entity Name | Colowell America Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225587165
PECOS PAC ID: 6709130255
Enrollment ID: O20181119003195 |
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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 Shiraz 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 Shiraz Farooq, MD
Po Box 4386,
Tampa, FL 33677-4386
Ph: (813) 278-6430 | Dr Shiraz Farooq, MD
2313 W Violet St Ste A,
Tampa, FL 33603-1421
Ph: (813) 278-6430 |
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