Mahmoud Hassouba, MD in Memphis, TN

Mahmoud Hassouba, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Memphis, Tennessee. His current practice location is 1068 Cresthaven Rd Ste 500, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 866-8525.

Mahmoud Hassouba is licensed to practice in Tennessee (license number 63540) 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 1437534682.

Contact Information

	Mahmoud Hassouba, MD
	1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846
	(901) 866-8525
	Not Available

Map and Direction

Physician's Profile

Full Name	Mahmoud Hassouba
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	1068 Cresthaven Rd Ste 500, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437534682
Provider Enumeration Date: 07/29/2015
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6204229412
Enrollment ID: I20220211000665

Medical Identifiers

Medical identifiers for Mahmoud Hassouba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437534682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	63540 (Tennessee)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	57.025819 (Ohio)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	63540 (Tennessee)	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 Hassouba allows following entities to bill medicare on his behalf.

Entity Name	Ut Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384

Entity Name	St Jude Childrens Research Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139

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 Hassouba 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 Hassouba, MD 4100 Tarragon Ct, Springfield, IL 62711-6241 Ph: (203) 303-4950	Mahmoud Hassouba, MD 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 Ph: (901) 866-8525

Reviews and Comments

Surgery Doctors in Memphis, TN

Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525
William Leslie Hickerson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969
Miriam Wing San Tsao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415

Mahmoud Hassouba, MD - Medicare Surgery in Memphis, TN