Abed Al-mawla Jandali, MD in Green Island, NY

Abed Al-mawla Jandali, MD is a medicare enrolled "Surgery" physician in Green Island, New York. He graduated from medical school in 1969 and has 56 years of diverse experience with area of expertise as Family Practice. His current practice location is 13 Arch Street, Green Island, New York. You can reach out to his office (for appointments etc.) via phone at (518) 274-4654.

Abed Al-mawla Jandali is licensed to practice in New York (license number 119867) 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 1003918277.

Contact Information

	Abed Al-mawla Jandali, MD
	13 Arch Street, Green Island, NY 12183
	(518) 274-4654
	(518) 274-4654

Map and Direction

Physician's Profile

Full Name	Abed Al-mawla Jandali
Gender	Male
Speciality	Family Practice
Experience	56 Years
Location	13 Arch Street, Green Island, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Abed Al-mawla Jandali graduated from medical school in 1969

NPI Data:

NPI Number: 1003918277
Provider Enumeration Date: 09/01/2006
Last Update Date: 07/03/2024

Medicare PECOS Information:

PECOS PAC ID: 3375627052
Enrollment ID: I20080220000428

Medical Identifiers

Medical identifiers for Abed Al-mawla Jandali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003918277	NPI	-	NPPES
10002646D252	Other		CDPHP
000401344001	Other		BLUE SHIELD
00525177	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	119867 (New York)	Primary
207Q00000X	Family Medicine	119867 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Hospital	Troy, NY	Hospital

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. Abed Al-mawla Jandali allows following entities to bill medicare on his behalf.

Entity Name	Abed Al-mawla Jandali Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083950117 PECOS PAC ID: 0749425221 Enrollment ID: O20130404000358

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. Abed Al-mawla Jandali 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
Abed Al-mawla Jandali, MD 13 Arch Street, Green Island, NY 12183 Ph: (518) 274-4654	Abed Al-mawla Jandali, MD 13 Arch Street, Green Island, NY 12183 Ph: (518) 274-4654

Abed Al-mawla Jandali, MD - Medicare Family Practice in Green Island, NY