Fariha Mahboob, MD is a medicare enrolled "Internal Medicine" physician in 3230 Church St, Valatie, New York. Her current practice location is
The Grand Rehabilitation And Nursing Home At Barnwell, 3230 Church St, Valatie, New York. You can reach out to her office (for appointments etc.) via phone at
(855) 999-4938.
Fariha Mahboob is licensed to practice in New York (license number 129039) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093552176.
Physician's Profile
| Full Name | Fariha Mahboob |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | The Grand Rehabilitation And Nursing Home At Barnwell, 3230 Church St, Valatie, New York |
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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: 1093552176
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214476597
- Enrollment ID: I20240830000391
Medical Identifiers
Medical identifiers for Fariha Mahboob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093552176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 129039 (New York) | 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. Fariha Mahboob allows following entities to bill medicare on her behalf.
| Entity Name | Mill Basin Medical Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346006202
PECOS PAC ID: 9133566128
Enrollment ID: O20240326003311 |
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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. Fariha Mahboob 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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Fariha Mahboob, MD
5 Westminster Ct,
Collegeville, PA 19426-4423
Ph: (191) 356-8377 | Fariha Mahboob, MD
The Grand Rehabilitation And Nursing Home At Barnwell,
3230 Church St, Valatie, NY 12184
Ph: (855) 999-4938 |
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