Khaliq Siddiq, MD in Fullerton, CA - Medicare Hospitalist

Khaliq Siddiq, MD is a medicare enrolled "Hospitalist" physician in Fullerton, California. His current practice location is 279 Imperial Hwy, Suite 770, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 449-4803.

Khaliq Siddiq is licensed to practice in California (license number A79864) 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 1598766230.

Contact Information

	Khaliq Siddiq, MD
	279 Imperial Hwy, Suite 770, Fullerton, CA 92835-1041
	(714) 449-4803
	Not Available

Map and Direction

Physician's Profile

Full Name	Khaliq Siddiq
Gender	Male
Speciality	Hospitalist
Location	279 Imperial Hwy, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598766230
Provider Enumeration Date: 08/03/2005
Last Update Date: 05/02/2012

Medicare PECOS Information:

PECOS PAC ID: 6204921760
Enrollment ID: I20070928000636

Medical Identifiers

Medical identifiers for Khaliq Siddiq such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598766230	NPI	-	NPPES
00A798640	Other	CA	MEDI- CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A79864 (California)	Secondary
208M00000X	Hospitalist	A79864 (California)	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. Khaliq Siddiq allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Khaliq Siddiq 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
Khaliq Siddiq, MD 279 Imperial Hwy, Suite 770, Fullerton, CA 92835-1041 Ph: (714) 449-4803	Khaliq Siddiq, MD 279 Imperial Hwy, Suite 770, Fullerton, CA 92835-1041 Ph: (714) 449-4803

Reviews and Comments

Hospitalist Doctors in Fullerton, CA

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Shivani Kamalesh Patel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835 Phone: 714-626-8650 Fax: 714-626-8654
Bang The Nguyen, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-447-5027
Amir Najafi, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 E Valencia Mesa Dr Ste 206, Fullerton, CA 92835 Phone: 714-446-5050

Khaliq Siddiq, MD - Medicare Hospitalist in Fullerton, CA