Dr Selma Hannoun, OD is a medicare enrolled "Optometrist" provider in Bedford Park, Illinois. Her current practice location is
7050 S Cicero Ave, Bedford Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 496-0680.
Dr Selma Hannoun is licensed to practice in Massachusetts (license number 5312) 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 1508053224.
Healthcare Provider's Profile
| Full Name | Dr Selma Hannoun |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 7050 S Cicero Ave, Bedford Park, Illinois |
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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: 1508053224
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 02/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 1355503616
- Enrollment ID: I20160111002052
Medical Identifiers
Medical identifiers for Dr Selma Hannoun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508053224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1537 (Arizona) | Secondary |
| 152W00000X | Optometrist | 5312 (Massachusetts) | Primary |
| 152W00000X | Optometrist | 046009734 (Illinois) | 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. Dr Selma Hannoun allows following entities to bill medicare on her behalf.
| Provider Name | Dr Jorge A Benavente Optometrist Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063740744
PECOS PAC ID: 2860533742
Enrollment ID: O20100114000391 |
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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. Dr Selma Hannoun 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 |
|---|
Dr Selma Hannoun, OD
81 Beacon St,
Arlington, MA 02474-3304
Ph: (708) 541-9978 | Dr Selma Hannoun, OD
7050 S Cicero Ave,
Bedford Park, IL 60638-6402
Ph: (708) 496-0680 |
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