Randa Ibrahim Hazam, in Saint Louis, MO - Medicare Internal Medicine

Randa Ibrahim Hazam, is a medicare enrolled "Internal Medicine" physician in Saint Louis, Missouri. Her current practice location is 1201 S Grand Blvd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 257-8222.

Randa Ibrahim Hazam is licensed to practice in Missouri (license number 2022040465) 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 1295222404.

Contact Information

	Randa Ibrahim Hazam,
	1201 S Grand Blvd, Saint Louis, MO 63104-1016
	(314) 257-8222
	Not Available

Map and Direction

Physician's Profile

Full Name	Randa Ibrahim Hazam
Gender	Female
Speciality	Internal Medicine
Location	1201 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295222404
Provider Enumeration Date: 04/13/2018
Last Update Date: 11/01/2022

Medicare PECOS Information:

PECOS PAC ID: 4688923584
Enrollment ID: I20221107000168

Medical Identifiers

Medical identifiers for Randa Ibrahim Hazam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295222404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	202204065 (Missouri)	Secondary
207R00000X	Internal Medicine	2022040465 (Missouri)	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. Randa Ibrahim Hazam allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Randa Ibrahim Hazam 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
Randa Ibrahim Hazam, 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-8222	Randa Ibrahim Hazam, 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-8222

Reviews and Comments

Internal Medicine Doctors in Saint Louis, MO

Dr. Isik Turker, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278
Conor Mccartney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Dr. Faris Adam Bakeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Dr. Rehan Rais, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Nathan Farkas, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930
Dr. Randy Olivier Laine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Dr. Erin Leigh Dyer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959

Randa Ibrahim Hazam, - Medicare Internal Medicine in Saint Louis, MO