Dr Wafa K Khadraoui, MD - Medicare Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Dr Wafa K Khadraoui, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bridgeport, Connecticut. Her current practice location is 226 Mill Hill Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-3233.

Dr Wafa K Khadraoui is licensed to practice in * (Not Available) (license number ) 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 1285160200.

Contact Information

Dr Wafa K Khadraoui, MD
226 Mill Hill Ave,
Bridgeport, CT 06610
(203) 384-3233
(203) 384-4362



Physician's Profile

Full NameDr Wafa K Khadraoui
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location226 Mill Hill Ave, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285160200
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 05/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8022352087
  • Enrollment ID: I20210823001645

Medical Identifiers

Medical identifiers for Dr Wafa K Khadraoui such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285160200NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 39 (Connecticut)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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 Wafa K Khadraoui allows following entities to bill medicare on her behalf.
Entity NameMount Carmel Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457617235
PECOS PAC ID: 6709793367
Enrollment ID: O20120727000563

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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 Wafa K Khadraoui 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
Dr Wafa K Khadraoui, MD
226 Mill Hill Ave,
Bridgeport, CT 06610-2826

Ph: (203) 384-3233
Dr Wafa K Khadraoui, MD
226 Mill Hill Ave,
Bridgeport, CT 06610

Ph: (203) 384-3233

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