Yaqub M Baraki, MD is a medicare enrolled "Plastic Surgery" physician in Lansdowne, Virginia. His current practice location is
44084 Riverside Pkwy, Suite 230, Lansdowne, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 687-3158.
Yaqub M Baraki is licensed to practice in Virginia (license number 0101244834) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740454750.
Physician's Profile
| Full Name | Yaqub M Baraki |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 44084 Riverside Pkwy, Lansdowne, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740454750
- Provider Enumeration Date: 04/22/2008
- Last Update Date: 04/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 2466632658
- Enrollment ID: I20111013000059
Medical Identifiers
Medical identifiers for Yaqub M Baraki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740454750 | NPI | - | NPPES |
| X739 0001 | Other | MD | CAREFIRST |
| 198108YDB5 | Other | MD | MEDICARE |
| X739 0001 | Other | DC | CAREFIRST |
| 227970YFHZ | Other | DC | MEDICARE |
| VV6451E050 | Other | VA | MEDICARE |
| 510465300 | Other | MD | MEDICAL ASSISTANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | D68504 (Maryland) | Secondary |
| 208600000X | Surgery | D68504 (Maryland) | Secondary |
| 208200000X | Plastic Surgery | 0101244834 (Virginia) | Primary |
| 208600000X | Surgery | 0101244834 (Virginia) | Secondary |
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. Yaqub M Baraki allows following entities to bill medicare on his behalf.
| Entity Name | Inova Health Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644 |
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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. Yaqub M Baraki 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 |
|---|
Yaqub M Baraki, MD
10845 Philadelphia Rd,
White Marsh, MD 21162-1717
Ph: (410) 335-0008 | Yaqub M Baraki, MD
44084 Riverside Pkwy, Suite 230,
Lansdowne, VA 20176-5102
Ph: (703) 687-3158 |
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