Shahed Anam Ibn Faruk, in Augusta, GA - Medicare Family Medicine

Shahed Anam Ibn Faruk, is a medicare enrolled "Family Medicine" physician in Augusta, Georgia. His current practice location is 1120 15th St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-2273.

Shahed Anam Ibn Faruk is licensed to practice in Georgia (license number 7645) 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 1033592498.

Contact Information

	Shahed Anam Ibn Faruk,
	1120 15th St, Augusta, GA 30912-0004
	(706) 721-2273
	Not Available

Physician's Profile

Full Name	Shahed Anam Ibn Faruk
Gender	Male
Speciality	Family Medicine
Location	1120 15th St, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033592498
Provider Enumeration Date: 07/02/2015
Last Update Date: 07/02/2015

Medicare PECOS Information:

PECOS PAC ID: 1456643709
Enrollment ID: I20160707001770

Medical Identifiers

Medical identifiers for Shahed Anam Ibn Faruk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033592498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	7645 (Georgia)	Primary

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. Shahed Anam Ibn Faruk 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
Shahed Anam Ibn Faruk, 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-2273	Shahed Anam Ibn Faruk, 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-2273

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Family Medicine Doctors in Augusta, GA

Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157
Dr. Daria Ravangard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-6569
Janis S. Coffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899
Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 678-790-0634
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601

Shahed Anam Ibn Faruk, - Medicare Family Medicine in Augusta, GA