Hisham Hatoum, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" physician in Wilmington, North Carolina. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Louisiana State University School Of Medicine In New Orleans Faculty G and his current practice location is
1725 New Hanover Medical Park Dr, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 662-9331.
Hisham Hatoum is licensed to practice in North Carolina (license number 2021-00547) 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 1427372879.
Physician's Profile
Full Name | Hisham Hatoum |
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Gender | Male |
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Speciality | Maxillofacial Surgery |
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Experience | 10 Years |
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Location | 1725 New Hanover Medical Park Dr, Wilmington, North Carolina |
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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. |
Medical Education and Training:
- Hisham Hatoum graduated from medical school in 2014
NPI Data:
- NPI Number: 1427372879
- Provider Enumeration Date: 03/15/2010
- Last Update Date: 07/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002210200
- Enrollment ID: I20230602001252
Medical Identifiers
Medical identifiers for Hisham Hatoum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427372879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 2021-00547 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 2021-00547 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Louisiana State University School Of Medicine In New Orleans Faculty G | 0244136448 | 381 |
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. Hisham Hatoum allows following entities to bill medicare on his behalf.
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
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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. Hisham Hatoum 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 |
Hisham Hatoum, MD, DDS Po Box 936857, Atlanta, GA 31193-6857 Ph: () - | Hisham Hatoum, MD, DDS 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 Ph: (910) 662-9331 |
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