Khizer M Siddiqi, MD is a medicare enrolled "Emergency Medicine" physician in Flowood, Mississippi. His current practice location is
150 Park Circle Drive, Flowood, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(205) 981-2152.
Khizer M Siddiqi is licensed to practice in Alabama (license number 00017547) 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 1386639904.
Physician's Profile
Full Name | Khizer M Siddiqi |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 150 Park Circle Drive, Flowood, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386639904
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 06/05/2008
Medicare PECOS Information:
- PECOS PAC ID: 2466355995
- Enrollment ID: I20040130000768
Medical Identifiers
Medical identifiers for Khizer M Siddiqi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386639904 | NPI | - | NPPES |
051520970 | Other | AL | BCBS |
5678710 | Other | AL | AETNA |
051520970 | Medicaid | AL | |
051529063 | Other | AL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 00017547 (Alabama) | 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. Khizer M Siddiqi allows following entities to bill medicare on his behalf.
Entity Name | Marion Regional Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932160082 PECOS PAC ID: 1658282322 Enrollment ID: O20031124000559 |
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Entity Name | Correct Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040615000906 |
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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. Khizer M Siddiqi 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 |
Khizer M Siddiqi, MD 150 Park Circle Drive, Flowood, MS 39232 Ph: (205) 981-2152 | Khizer M Siddiqi, MD 150 Park Circle Drive, Flowood, MS 39232 Ph: (205) 981-2152 |
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