Dr Abdelrahman M Abdalla, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Salem, Indiana. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Springfield Radiology Associates, P.c., A And E Diagnostic Imaging Llc and his current practice location is
911 N Shelby St, Salem, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 896-0108.
Dr Abdelrahman M Abdalla is licensed to practice in Indiana (license number 01058910A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477729234.
Physician's Profile
| Full Name | Dr Abdelrahman M Abdalla |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 37 Years |
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| Location | 911 N Shelby St, Salem, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Abdelrahman M Abdalla graduated from medical school in 1987
NPI Data:
- NPI Number: 1477729234
- Provider Enumeration Date: 05/01/2008
- Last Update Date: 05/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 3971577156
- Enrollment ID: I20100604000003
Medical Identifiers
Medical identifiers for Dr Abdelrahman M Abdalla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477729234 | NPI | - | NPPES |
| 000000342198 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
| 200478450 | Medicaid | IN | |
| 01058910A | Other | IN | IN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 01058910A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Springfield Radiology Associates, P.c. | 8527085794 | 7 |
| A And E Diagnostic Imaging Llc | 1759693161 | 2 |
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. Dr Abdelrahman M Abdalla allows following entities to bill medicare on his behalf.
| Entity Name | Springfield Radiology Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285613141
PECOS PAC ID: 8527085794
Enrollment ID: O20051027000128 |
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| Entity Name | Radadvantage A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090305000655 |
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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. Dr Abdelrahman M Abdalla 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 |
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Dr Abdelrahman M Abdalla, MD
911 N Shelby St,
Salem, IN 47167-2304
Ph: (812) 896-0108 | Dr Abdelrahman M Abdalla, MD
911 N Shelby St,
Salem, IN 47167-2304
Ph: (812) 896-0108 |
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