Ms Risha Fayyaz, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. Her current practice location is
2500 North State Street, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 984-5660.
Ms Risha Fayyaz is licensed to practice in * (Not Available) (license number ) 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 1053986919.
Physician's Profile
Full Name | Ms Risha Fayyaz |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2500 North State Street, Jackson, Mississippi |
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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: 1053986919
- Provider Enumeration Date: 05/24/2021
- Last Update Date: 06/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799210605
- Enrollment ID: I20241129000292
Medical Identifiers
Medical identifiers for Ms Risha Fayyaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053986919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | T-4341 (Mississippi) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ms Risha Fayyaz allows following entities to bill medicare on her behalf.
Entity Name | Hospital Medicine Services Of Tn Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982301065 PECOS PAC ID: 2365807633 Enrollment ID: O20230421000177 |
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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. Ms Risha Fayyaz 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 |
Ms Risha Fayyaz, 2500 North State Street, Jackson, MS 39216 Ph: (601) 984-5607 | Ms Risha Fayyaz, 2500 North State Street, Jackson, MS 39216 Ph: (601) 984-5660 |
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