Jeeshan Ali Faridi, MD is a medicare enrolled "Orthopaedic Surgery" physician in Bardstown, Kentucky. He went to Virginia Tech Carilion School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Kentuckyone Health Medical Group Inc, Kentucky Orthopedic Rehabilitation Llc, Kentuckyone Health Medical Group Inc and his current practice location is
875 Pennsylvania Ave, Bardstown, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 348-5685.
Jeeshan Ali Faridi is licensed to practice in Kentucky (license number 58849) 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 1134514532.
Physician's Profile
| Full Name | Jeeshan Ali Faridi |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 9 Years |
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| Location | 875 Pennsylvania Ave, Bardstown, Kentucky |
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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:
- Jeeshan Ali Faridi attended and graduated from Virginia Tech Carilion School Of Medicine in 2015
NPI Data:
- NPI Number: 1134514532
- Provider Enumeration Date: 04/02/2015
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244519387
- Enrollment ID: I20171129002475
Medical Identifiers
Medical identifiers for Jeeshan Ali Faridi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134514532 | NPI | - | NPPES |
| 7100432810 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 2021-02615 (North Carolina) | Secondary |
| 207X00000X | Orthopaedic Surgery | 58849 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kentuckyone Health Medical Group Inc | 8820993702 | 232 |
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 731 |
| Kentuckyone Health Medical Group Inc | 8820993702 | 232 |
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. Jeeshan Ali Faridi allows following entities to bill medicare on his behalf.
| Entity Name | Community Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656 |
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| Entity Name | Kentuckyone Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104875970
PECOS PAC ID: 8820993702
Enrollment ID: O20031204000080 |
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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. Jeeshan Ali Faridi 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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Jeeshan Ali Faridi, MD
Po Box 936,
London, KY 40743-0936
Ph: (606) 330-7835 | Jeeshan Ali Faridi, MD
875 Pennsylvania Ave,
Bardstown, KY 40004-2529
Ph: (502) 348-5685 |
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