Dr Hisham Fittahy, PT, DPT, C/NDT is a medicare enrolled "Physical Therapist" provider in Melvindale, Michigan. His current practice location is
2928 Oakwood Blvd, Melvindale, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 436-4984.
Dr Hisham Fittahy is licensed to practice in Michigan (license number 5501013717) 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 1245730076.
Healthcare Provider's Profile
| Full Name | Dr Hisham Fittahy |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 2928 Oakwood Blvd, Melvindale, Michigan |
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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: 1245730076
- Provider Enumeration Date: 02/19/2018
- Last Update Date: 10/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628445517
- Enrollment ID: I20221107000624
Medical Identifiers
Medical identifiers for Dr Hisham Fittahy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245730076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251G0304X | Physical Therapist - Geriatrics | 5501013717 (Michigan) | Secondary |
| 2251H1200X | Physical Therapist - Hand | 5501013717 (Michigan) | Secondary |
| 2251N0400X | Physical Therapist - Neurology | 5501013717 (Michigan) | Secondary |
| 2251S0007X | Physical Therapist - Sports | 5501013717 (Michigan) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 5501013717 (Michigan) | Secondary |
| 225100000X | Physical Therapist | 5501013717 (Michigan) | 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. Dr Hisham Fittahy allows following entities to bill medicare on his behalf.
| Provider Name | Melvindale Physical Therapy Specialists |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1124786470
PECOS PAC ID: 6002203098
Enrollment ID: O20220421000364 |
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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 Hisham Fittahy 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 Hisham Fittahy, PT, DPT, C/NDT
2928 Oakwood Blvd,
Melvindale, MI 48122-1244
Ph: (134) 364-9843 | Dr Hisham Fittahy, PT, DPT, C/NDT
2928 Oakwood Blvd,
Melvindale, MI 48122-1244
Ph: (313) 436-4984 |
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