Sayf Al-khazraji, OD - Medicare Optometrist in Mishawaka, IN

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Sayf Al-khazraji, OD is a medicare enrolled "Optometrist" provider in Mishawaka, Indiana. His current practice location is 420 W 4th St, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 307-7673.

Sayf Al-khazraji is licensed to practice in Indiana (license number 18004428A) 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 1790461390.

Contact Information

Sayf Al-khazraji, OD
420 W 4th St,
Mishawaka, IN 46544-1948
(574) 307-7673
(574) 307-7692

Map and Direction




Healthcare Provider's Profile

Full NameSayf Al-khazraji
GenderMale
SpecialityOptometrist
Location420 W 4th St, Mishawaka, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790461390
  • Provider Enumeration Date: 06/27/2023
  • Last Update Date: 09/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416316039
  • Enrollment ID: I20230629002861

Medical Identifiers

Medical identifiers for Sayf Al-khazraji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790461390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18004428A (Indiana)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. Sayf Al-khazraji allows following entities to bill medicare on his behalf.
Provider NameIndiana University
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497799787
PECOS PAC ID: 6002806957
Enrollment ID: O20040513001109
Provider NameHealthlinc Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1528262581
PECOS PAC ID: 7618929373
Enrollment ID: O20050210000929

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. Sayf Al-khazraji 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 AddressPractice Location Address
Sayf Al-khazraji, OD
420 W 4th St,
Mishawaka, IN 46544-1948

Ph: (773) 766-2855		Sayf Al-khazraji, OD
420 W 4th St,
Mishawaka, IN 46544-1948

Ph: (574) 307-7673

Reviews and Comments


Optometrist in Mishawaka, IN

Stephanie Marie Baxter, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 230 E Day Rd, Ste 100, Mishawaka, IN 46545
Phone: 574-271-3939    Fax: 574-271-3941
Jini Varughese John,
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545
Phone: 574-272-9000    
Dr. Jonathan Edward Kintner, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 517 Lincoln Way E, Mishawaka, IN 46544
Phone: 574-255-3188    Fax: 574-255-4182
Dr. Jayson Paul Ferd Burden, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 517 Lincolnway E, Mishawaka, IN 46544
Phone: 574-255-1231    
Dr. Jeffrey A. Coppes, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 6502 Grape Road, Suite 898, Mishawaka, IN 46545
Phone: 574-277-7723    Fax: 574-277-9698
Shannan Elizabeth Brown, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 230 E Day Rd Ste 100, Mishawaka, IN 46545
Phone: 574-271-3939    Fax: 574-271-3941
Dr. Andrew R Anderson, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 230 E Day Rd, 100, Mishawaka, IN 46545
Phone: 574-271-3939    Fax: 574-271-3941

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.