Dr Tajammul N Fazili, MD in Shreveport, LA

Dr Tajammul N Fazili, MD is a medicare enrolled "Urology" physician in Shreveport, Louisiana. His current practice location is 510 E Stoner Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 221-8411.

Dr Tajammul N Fazili is licensed to practice in Pennsylvania (license number 430449) 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 1245416601.

Contact Information

	Dr Tajammul N Fazili, MD
	510 E Stoner Ave, Shreveport, LA 71101-4243
	(318) 221-8411
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tajammul N Fazili
Gender	Male
Speciality	Urology
Location	510 E Stoner Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245416601
Provider Enumeration Date: 01/16/2008
Last Update Date: 01/16/2008

Medicare PECOS Information:

PECOS PAC ID: 5092987172
Enrollment ID: I20170425002837

Medical Identifiers

Medical identifiers for Dr Tajammul N Fazili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245416601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	430449 (Pennsylvania)	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 Tajammul N Fazili allows following entities to bill medicare on his behalf.

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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 Tajammul N Fazili 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 Tajammul N Fazili, MD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411	Dr Tajammul N Fazili, MD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411

Reviews and Comments

Urology Doctors in Shreveport, LA

Ralph Jonathan Henderson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-603-5461
Dennis Dale Venable, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Urology, Shreveport, LA 71103 Phone: 318-813-2750 Fax: 318-813-2755
Alison Smith Spann, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns Industrial Loop, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-688-8525
Raymond Wendell Turner, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9854 Jennifer Ln, Shreveport, LA 71106 Phone: 318-797-5786
Mrs. Ashley Sittig Baker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-603-5461
Andre Paul Broussard, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5053

Dr Tajammul N Fazili, MD - Medicare Urology in Shreveport, LA