Fawadulhaq Gillani, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Allston, Massachusetts. His current practice location is
14 Fordham Rd, Allston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 782-6460.
Fawadulhaq Gillani is licensed to practice in Massachusetts (license number 1020738) 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 1326502014.
Physician's Profile
| Full Name | Fawadulhaq Gillani |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 14 Fordham Rd, Allston, Massachusetts |
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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: 1326502014
- Provider Enumeration Date: 01/26/2019
- Last Update Date: 11/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658776117
- Enrollment ID: I20221221002776
Medical Identifiers
Medical identifiers for Fawadulhaq Gillani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326502014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME158355 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1020738 (Massachusetts) | 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. Fawadulhaq Gillani allows following entities to bill medicare on his behalf.
| Entity Name | Ocala Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548546864
PECOS PAC ID: 0244303014
Enrollment ID: O20120214000434 |
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| Entity Name | Windmoor Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891888558
PECOS PAC ID: 2668553199
Enrollment ID: O20181108002750 |
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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. Fawadulhaq Gillani 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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Fawadulhaq Gillani,
14 Fordham Rd,
Allston, MA 02134-3000
Ph: (617) 782-6460 | Fawadulhaq Gillani,
14 Fordham Rd,
Allston, MA 02134-3000
Ph: (617) 782-6460 |
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