Basil H Hazimah, DPM - Podiatrist in Carbondale, IL

Basil H Hazimah, DPM is a Podiatrist - Foot & Ankle Surgery based in Carbondale, Illinois. Basil H Hazimah is licensed to practice in Illinois (license number 0160053701) and his current practice location is 1235 Cedar Ct, Carbondale, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 457-0431.

NPI number for Basil H Hazimah is 1306903851 and his current mailing address is Po Box 997, Carbondale, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306903851.

Contact Information

Basil H Hazimah, DPM
1235 Cedar Ct,
Carbondale, IL 62901-5335
(618) 457-0431
(618) 457-5199



Healthcare Provider's Profile

Full NameBasil H Hazimah
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location1235 Cedar Ct, Carbondale, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306903851
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 09/16/2008

Medical Identifiers

Medical identifiers for Basil H Hazimah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306903851NPI-NPPES
016005370MedicaidIL
CI5845OtherILRAILROAD MEDICARE
03922239OtherILBLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 36003066H (Ohio)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 0160053701 (Illinois)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. Basil H Hazimah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Basil H Hazimah, DPM
Po Box 997,
Carbondale, IL 62903-0997

Ph: (618) 457-0431
Basil H Hazimah, DPM
1235 Cedar Ct,
Carbondale, IL 62901-5335

Ph: (618) 457-0431

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› Verified 2 days ago


Podiatrist in Carbondale, IL

Christopher C Moore, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1235 Cedar Ct, Carbondale, IL 62901
Phone: 618-457-0431    Fax: 618-457-5199
Southern Illinois Foot And Ankle Clinic Ltd
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1235 Cedar Ct, Carbondale, IL 62901
Phone: 618-457-0431    Fax: 618-457-5199

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