Mahmoud Elfatah, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Secane, Pennsylvania. His current practice location is
828 Providence Rd, Apt C303, Secane, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 762-2618.
Mahmoud Elfatah is licensed to practice in Pennsylvania (license number MT 189373) 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 1518129923.
Physician's Profile
Full Name | Mahmoud Elfatah |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 828 Providence Rd, Secane, Pennsylvania |
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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: 1518129923
- Provider Enumeration Date: 06/26/2008
- Last Update Date: 06/26/2008
Medicare PECOS Information:
- PECOS PAC ID: 0840445599
- Enrollment ID: I20130301000258
Medical Identifiers
Medical identifiers for Mahmoud Elfatah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518129923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MT 189373 (Pennsylvania) | 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. Mahmoud Elfatah allows following entities to bill medicare on his behalf.
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
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Entity Name | Delaware County Professional Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952485864 PECOS PAC ID: 2668436692 Enrollment ID: O20041118000546 |
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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. Mahmoud Elfatah 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 |
Mahmoud Elfatah, MD 828 Providence Rd, Apt C303, Secane, PA 19018-3638 Ph: (610) 457-1129 | Mahmoud Elfatah, MD 828 Providence Rd, Apt C303, Secane, PA 19018-3638 Ph: (215) 762-2618 |
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