Maryam Farooq, is a medicare enrolled "Hospitalist" physician in Lower Gwynedd, Pennsylvania. Her current practice location is
605 N Bethlehem Pike, Lower Gwynedd, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 643-2119.
Maryam Farooq is licensed to practice in Pennsylvania (license number OS019656) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023490448.
Physician's Profile
Full Name | Maryam Farooq |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 605 N Bethlehem Pike, Lower Gwynedd, 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: 1023490448
- Provider Enumeration Date: 06/22/2015
- Last Update Date: 12/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264715572
- Enrollment ID: I20190830000450
Medical Identifiers
Medical identifiers for Maryam Farooq such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023490448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | OS019656 (Pennsylvania) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | OS019656 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | OS019656 (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. Maryam Farooq allows following entities to bill medicare on her behalf.
Entity Name | Abington Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124072764 PECOS PAC ID: 3274437736 Enrollment ID: O20040114000028 |
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Entity Name | Aria Health Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750949806 PECOS PAC ID: 3577467018 Enrollment ID: O20040224000045 |
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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. Maryam Farooq 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 |
Maryam Farooq, 2500 Maryland Rd Ste 400, Willow Grove, PA 19090-1225 Ph: (215) 481-4143 | Maryam Farooq, 605 N Bethlehem Pike, Lower Gwynedd, PA 19002-2501 Ph: (215) 643-2119 |
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