Glorious Ali Shabazz, in Paterson, NJ - Medicare Counselor Provider

Glorious Ali Shabazz, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Paterson, New Jersey. His current practice location is 300 E 29th St, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 930-0044.

Glorious Ali Shabazz is licensed to practice in New Jersey (license number 37LC00280000) 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 1851922397.

Contact Information

	Glorious Ali Shabazz,
	300 E 29th St, Paterson, NJ 07514-1818
	(973) 930-0044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Glorious Ali Shabazz
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	300 E 29th St, Paterson, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851922397
Provider Enumeration Date: 02/03/2020
Last Update Date: 02/03/2020

Medicare PECOS Information:

PECOS PAC ID: 1759829237
Enrollment ID: I20240815000241

Medical Identifiers

Medical identifiers for Glorious Ali Shabazz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851922397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	37LC00280000 (New Jersey)	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. Glorious Ali Shabazz allows following entities to bill medicare on his behalf.

Entity Name	Adult Family Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669956298 PECOS PAC ID: 3072918713 Enrollment ID: O20210819000002

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. Glorious Ali Shabazz 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
Glorious Ali Shabazz, 300 E 29th St, Paterson, NJ 07514-1818 Ph: (973) 930-0044	Glorious Ali Shabazz, 300 E 29th St, Paterson, NJ 07514-1818 Ph: (973) 930-0044

Reviews and Comments

Counselor in Paterson, NJ

Renee Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 W Broadway Fl 3, Paterson, NJ 07505 Phone: 973-345-1883 Fax: 973-345-5480
Andre L Mcentyre, LCADC, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 Lafayette St Apt 3, Paterson, NJ 07501 Phone: 973-876-3390
Ms. Andrea Elisabeth Westkamp, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 396 E 38th St, Paterson, NJ 07504 Phone: 973-279-2885
Steven Stokes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 W Broadway Fl 3, Paterson, NJ 07505 Phone: 973-345-1883 Fax: 973-345-5480
Ms. Hilary Hastings Porteous-nye, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 60 Hamilton St, Paterson, NJ 07505 Phone: 973-754-5597 Fax: 973-754-5599
Mrs. Rehan Hassanin Seyam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 Derrom Ave, Paterson, NJ 07504 Phone: 973-278-7070
Joseph Anthony Conte, LCADC, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 W Broadway, Paterson, NJ 07505 Phone: 973-345-1883 Fax: 973-345-5480

Glorious Ali Shabazz, - Medicare Counselor in Paterson, NJ