Fadi S Bashour, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Brooklyn, Ohio. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Cleveland Clinic Foundation and his current practice location is
7575 Northcliff Ave, Suite 302, Brooklyn, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 398-5988.
Fadi S Bashour is licensed to practice in Ohio (license number 35065516) 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 1134178932.
Physician's Profile
| Full Name | Fadi S Bashour |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 35 Years |
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| Location | 7575 Northcliff Ave, Brooklyn, Ohio |
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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:
- Fadi S Bashour graduated from medical school in 1989
NPI Data:
- NPI Number: 1134178932
- Provider Enumeration Date: 05/09/2006
- Last Update Date: 10/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 6507847951
- Enrollment ID: I20040601000413
Medical Identifiers
Medical identifiers for Fadi S Bashour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134178932 | NPI | - | NPPES |
| 160056024 | Other | OH | RAILROAD CARE |
| P00705906 | Other | OH | RRCARE |
| 350267 | Other | OH | WELLCARE |
| 000000215837 | Other | OH | ANTHEM BC/BS |
| 0940512 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35065516 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic Foundation | 1850203555 | 5680 |
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. Fadi S Bashour allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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. Fadi S Bashour 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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Fadi S Bashour, MD
7575 Northcliff Ave, Suite 302,
Brooklyn, OH 44144-3267
Ph: (216) 398-5988 | Fadi S Bashour, MD
7575 Northcliff Ave, Suite 302,
Brooklyn, OH 44144-3267
Ph: (216) 398-5988 |
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