Mohammad Fattal, MD is a medicare enrolled "Family Medicine" physician in Elsmere, Kentucky. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Siraj Healthcare Incorporated, Trihealth G Llc and his current practice location is
3876 Turkeyfoot Rd, Elsmere, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 342-8775.
Mohammad Fattal is licensed to practice in Kentucky (license number 43438) 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 1114194156.
Physician's Profile
Full Name | Mohammad Fattal |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 20 Years |
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Location | 3876 Turkeyfoot Rd, Elsmere, Kentucky |
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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:
- Mohammad Fattal graduated from medical school in 2004
NPI Data:
- NPI Number: 1114194156
- Provider Enumeration Date: 05/09/2008
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193913796
- Enrollment ID: I20101227000230
Medical Identifiers
Medical identifiers for Mohammad Fattal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114194156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 43438 (Kentucky) | Primary |
Medical Facilities Affiliation
Facility Name | Location | Facility Type |
American Mercy Home Care, Llc | Cincinnati, OH | Home health agency |
Hospice Care Of St Elizabeth Healthcare | Edgewood, KY | Hospice |
Hospice Of The Bluegrass, Inc Dba Bluegrass Care N | Lexington, KY | Hospice |
Bethesda North | Cincinnati, OH | Hospital |
Good Samaritan Hospital | Cincinnati, OH | Hospital |
Mercy Health-anderson Hospital | Cincinnati, OH | Hospital |
Woodcrest Nursing And Rehabilitation Center | Elsmere, KY | Nursing home |
Coldspring Transitional Care Center | Cold spring, KY | Nursing home |
Highlandspring Of Ft Thomas | Fort thomas, KY | Nursing home |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Siraj Healthcare Incorporated | 4981846318 | 2 |
Trihealth G Llc | 0749222651 | 245 |
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. Mohammad Fattal allows following entities to bill medicare on his behalf.
Entity Name | Siraj Healthcare Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487092334 PECOS PAC ID: 4981846318 Enrollment ID: O20130814000023 |
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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. Mohammad Fattal 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 |
Mohammad Fattal, MD Po Box 6716, Florence, KY 41022-6716 Ph: (859) 342-4087 | Mohammad Fattal, MD 3876 Turkeyfoot Rd, Elsmere, KY 41018-2838 Ph: (859) 342-8775 |
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