Mazen Kherallah, MD in Fargo, ND - Medicare Critical Care (intensivists)

Mazen Kherallah, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Fargo, North Dakota. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Sanford Medical Center Fargo, Critical Care Physicians Of Illinois Llc, Landmark Hospital Of Joplin Llc and his current practice location is 801 Broadway N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-7200.

Mazen Kherallah is licensed to practice in North Dakota (license number 9502) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922025691.

Contact Information

	Mazen Kherallah, MD
	801 Broadway N, Fargo, ND 58102-3641
	(701) 234-7200
	(701) 234-7225

Map and Direction

Physician's Profile

Full Name	Mazen Kherallah
Gender	Male
Speciality	Critical Care (intensivists)
Experience	37 Years
Location	801 Broadway N, Fargo, North Dakota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mazen Kherallah graduated from medical school in 1987

NPI Data:

NPI Number: 1922025691
Provider Enumeration Date: 07/17/2006
Last Update Date: 02/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6406905322
Enrollment ID: I20110208001056

Medical Identifiers

Medical identifiers for Mazen Kherallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922025691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	9502 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franciscan Health Olympia Fields & Chicago Heights	Olympia fields, IL	Hospital
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085
Critical Care Physicians Of Illinois Llc	7012179294	41
Landmark Hospital Of Joplin Llc	5698870822	8

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. Mazen Kherallah allows following entities to bill medicare on his behalf.

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Mazen Kherallah 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
Mazen Kherallah, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-7200	Mazen Kherallah, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-7200

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

Abdallah M Mansour, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900
Derek Anderson, DO Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933
Gerald G Gross, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161
Paul James Carson, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979
Howard L Russell, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861
Dr. Emuejevoke Joseph Okoh, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Dr. Patrick J Hughes, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000

Mazen Kherallah, MD - Medicare Critical Care (intensivists) in Fargo, ND