Husein Husein, MD is a medicare enrolled "Nuclear Medicine" physician in Bridgeport, Connecticut. His current practice location is
2800 Main St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 576-6000.
Husein Husein is licensed to practice in Iowa (license number MD-47261) 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 1770019069.
Physician's Profile
| Full Name | Husein Husein |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Location | 2800 Main St, Bridgeport, Connecticut |
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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: 1770019069
- Provider Enumeration Date: 05/04/2017
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901221738
- Enrollment ID: I20221122003316
Medical Identifiers
Medical identifiers for Husein Husein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770019069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085N0904X | Radiology - Nuclear Radiology | MD-47261 (Iowa) | Secondary |
| 208D00000X | General Practice | MD-47261 (Iowa) | Secondary |
| 208D00000X | General Practice | 67614 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 68730 (Connecticut) | Secondary |
| 207U00000X | Nuclear Medicine | MD-47261 (Iowa) | 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. Husein Husein allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200114001048 |
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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. Husein Husein 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 |
|---|
Husein Husein, MD
200 Hawkins Dr,
Iowa City, IA 52242-1009
Ph: (319) 356-3435 | Husein Husein, MD
2800 Main St,
Bridgeport, CT 06606-4201
Ph: (203) 576-6000 |
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