Samir Hasan, - Medicare Surgery in Englewood, CO

Samir Hasan, is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Englewood, Colorado. His current practice location is 3333 S Bannock St, Englewood, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 677-5649.

Samir Hasan is licensed to practice in Colorado (license number 65914) 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 1063825768.

Contact Information

Samir Hasan,
3333 S Bannock St,
Englewood, CO 80110-2432
(720) 677-5649
Not Available



Physician's Profile

Full NameSamir Hasan
GenderMale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location3333 S Bannock St, Englewood, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063825768
  • Provider Enumeration Date: 06/10/2014
  • Last Update Date: 05/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022310416
  • Enrollment ID: I20200803001811

Medical Identifiers

Medical identifiers for Samir Hasan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063825768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 301986 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery 65914 (Colorado)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. Samir Hasan allows following entities to bill medicare on his behalf.
Entity NameUniversity Physicians Of Brooklyn, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538116082
PECOS PAC ID: 0749192284
Enrollment ID: O20040728001520

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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. Samir Hasan 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
Samir Hasan,
3333 S Bannock St Ste 150,
Englewood, CO 80110-2514

Ph: (720) 677-5649
Samir Hasan,
3333 S Bannock St,
Englewood, CO 80110-2432

Ph: (720) 677-5649

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Surgery Doctors in Englewood, CO

Rachael Michele Galvin, DO, MPH
Surgery
Medicare: Medicare Enrolled
Practice Location: 601 E Hampden Ave # 220, Englewood, CO 80113
Phone: 303-788-5084    
Dr. Denetta Sue Slone, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 501 E Hampden Ave, Englewood, CO 80113
Phone: 303-788-5300    
Dr. Burt Bote Katubig, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 501 E Hampden Ave, Englewood, CO 80113
Phone: 303-788-5300    
Dr. John F Wolz, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 499 E Hampden Ave, Suite 380, Englewood, CO 80113
Phone: 303-788-5300    Fax: 303-333-6385
Eric O Kortz, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 601 E Hampden Ave, Suite 470, Englewood, CO 80113
Phone: 303-789-1877    Fax: 303-789-2628
Anthony P Cheng, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 501 E Hampden Ave, Englewood, CO 80113
Phone: 303-788-5300    

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