Ahmad Mahmoud Qudaiesat, FNP in Inglewood, CA

Ahmad Mahmoud Qudaiesat, FNP is a medicare enrolled "Nurse Practitioner - Family" in Inglewood, California. His current practice location is 555 E Hardy St, Inglewood, California. You can reach out to his office (for appointments etc.) via phone at (310) 680-8536.

Ahmad Mahmoud Qudaiesat is licensed to practice in California (license number 95010937) 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 1801350822.

Contact Information

	Ahmad Mahmoud Qudaiesat, FNP
	555 E Hardy St, Inglewood, CA 90301-4011
	(310) 680-8536
	Not Available

Map and Direction

Provider's Profile

Full Name	Ahmad Mahmoud Qudaiesat
Gender	Male
Speciality	Nurse Practitioner - Family
Location	555 E Hardy St, Inglewood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801350822
Provider Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019

Medicare PECOS Information:

PECOS PAC ID: 1052651742
Enrollment ID: I20190315000770

Medical Identifiers

Medical identifiers for Ahmad Mahmoud Qudaiesat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801350822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95010937 (California)	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. Ahmad Mahmoud Qudaiesat allows following entities to bill medicare on his behalf.

Entity Name	Centinela Freeman Emergency Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528333101 PECOS PAC ID: 0042469108 Enrollment ID: O20121004000437

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. Ahmad Mahmoud Qudaiesat 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
Ahmad Mahmoud Qudaiesat, FNP 898 N Pacific Coast Hwy Ste 600, El Segundo, CA 90245-2747 Ph: (310) 379-2134	Ahmad Mahmoud Qudaiesat, FNP 555 E Hardy St, Inglewood, CA 90301-4011 Ph: (310) 680-8536

Reviews and Comments

Nurse Practitioner Nurses in Inglewood, CA

Mark Ross Silverio Mendoza, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 934 Larch St Apt 1b, Inglewood, CA 90301 Phone: 714-882-0696
Ms. Claudine Harris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Larch St Apt 1, Inglewood, CA 90301 Phone: 424-219-2809
Ms. Mai Chou Vang, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-673-4660
Arsalan Sharifian Pour, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 818-577-0269
Melinda Rusiana Catubig-espiritu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3451 W Century Blvd, Inglewood, CA 90303 Phone: 310-677-9400
Suzanne Bejec, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 E Hardy St Ste 315, Inglewood, CA 90301 Phone: 213-328-2889
Charlene Ngozi Azonwu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-673-4660

Ahmad Mahmoud Qudaiesat, FNP - Medicare Nurse Practitioner in Inglewood, CA