Khalisa Israt Jahan Syeda, DO - Medicare Pediatrics in Dothan, AL

Khalisa Israt Jahan Syeda, DO is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Dothan, Alabama. Her current practice location is 540 Westgate Pkwy, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 934-3460.

Khalisa Israt Jahan Syeda is licensed to practice in Alabama (license number DO.2052) 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 1326474438.

Contact Information

Khalisa Israt Jahan Syeda, DO
540 Westgate Pkwy,
Dothan, AL 36303
(205) 934-3460
Not Available



Physician's Profile

Full NameKhalisa Israt Jahan Syeda
GenderFemale
SpecialityPediatrics - Pediatric Cardiology
Location540 Westgate Pkwy, Dothan, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326474438
  • Provider Enumeration Date: 09/20/2013
  • Last Update Date: 08/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325348691
  • Enrollment ID: I20191015003332

Medical Identifiers

Medical identifiers for Khalisa Israt Jahan Syeda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326474438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology DO.2052 (Alabama)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. Khalisa Israt Jahan Syeda allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Alabama Health Services Foundation, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261

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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. Khalisa Israt Jahan Syeda 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
Khalisa Israt Jahan Syeda, DO
540 Westgate Pkwy,
Dothan, AL 36303-3073

Ph: (205) 934-3460
Khalisa Israt Jahan Syeda, DO
540 Westgate Pkwy,
Dothan, AL 36303

Ph: (205) 934-3460

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Pediatrics Doctors in Dothan, AL

Dr. Craig B Adams, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 364 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-794-8656    Fax: 877-389-4229
Kristine Campbell Sawyer, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 126 Clinic Dr, Dothan, AL 36303
Phone: 334-793-1881    
Dr. Meredith Cheryl Hitch, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5565 Montgomery Hwy, Dothan, AL 36303
Phone: 334-699-3733    Fax: 334-500-3007
Dr. Sarah W Germanson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 364 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-794-8656    Fax: 877-389-4229
Dr. Risha Kahlil Gatlin, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 364 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-794-8656    Fax: 877-389-4229
John E. Searcy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 364 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-794-8656    Fax: 334-702-7047
Michelle S. Freeman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 126 Clinic Dr, Dothan, AL 36303
Phone: 334-793-1881    Fax: 334-712-1815

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