Omar Faruque, DO - Medicare Radiology in Tripler Army Medical Center, HI

Omar Faruque, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tripler Army Medical Center, Hawaii. His current practice location is 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 433-2474.

Omar Faruque is licensed to practice in Nebraska (license number 1812) 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 1710431044.

Contact Information

Omar Faruque, DO
1 Jarrett White Rd, Tripler Army Medical Center,
Tripler Army Medical Center, HI 96859-5001
(808) 433-2474
Not Available



Physician's Profile

Full NameOmar Faruque
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1 Jarrett White Rd, Tripler Army Medical Center, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710431044
  • Provider Enumeration Date: 08/03/2016
  • Last Update Date: 02/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325404429
  • Enrollment ID: I20230516001140

Medical Identifiers

Medical identifiers for Omar Faruque such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710431044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 1812 (Nebraska)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. Omar Faruque allows following entities to bill medicare on his behalf.
Entity NameAscension Borgess Lee Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1194771030
PECOS PAC ID: 7719881002
Enrollment ID: O20080304000173

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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. Omar Faruque 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
Omar Faruque, DO
Omar Faruque, General Delivery, 300 E Hospital Rd,
Ft Gordon, GA 30905

Ph: (313) 903-2111
Omar Faruque, DO
1 Jarrett White Rd, Tripler Army Medical Center,
Tripler Army Medical Center, HI 96859-5001

Ph: (808) 433-2474

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Radiology Doctors in Tripler Army Medical Center, HI

Mr. Edward Anthony Daly Jr., M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 888-683-2778    
Dr. Dustin R Roberie, D.O.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-433-2474    
Dr. David Timothy Padro, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-683-2778    
Dr. Young Woo Kim, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1 Jarrett White Rd, Department Of Radiology, Tripler Army Medical Center, HI 96859
Phone: 808-433-6669    
Michael Mann Chamberlin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-433-2390    
Timothy Wulfestieg,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-433-2474    
Daniel Robert Mason, DO
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859
Phone: 808-433-6669    

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