Ahmad M Jadaan, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Ohio. His current practice location is
500 Burlington Rd, Jackson, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 395-8316.
Ahmad M Jadaan is licensed to practice in Ohio (license number 35.074004) 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 1265617161.
Physician's Profile
| Full Name | Ahmad M Jadaan |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 500 Burlington Rd, Jackson, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265617161
- Provider Enumeration Date: 01/09/2008
- Last Update Date: 02/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 5698858116
- Enrollment ID: I20100128000312
Medical Identifiers
Medical identifiers for Ahmad M Jadaan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265617161 | NPI | - | NPPES |
| 000000356859 | Other | OH | OH MEDICAID UNISON |
| 38100190001 | Medicaid | WV | |
| 2079889 | Medicaid | OH | |
| 310917085154 | Other | OH | OH MEDICAID CARESOURCE |
| P00878050 | Other | OH | RAILROAD MEDICARE |
| 2079889 | Other | OH | OH MEDICAID MOLINA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 01047450A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01047450A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 35.074004 (Ohio) | 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 M Jadaan allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Professional Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864 |
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| Entity Name | Ohio Emergency Care Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184028524
PECOS PAC ID: 1658695424
Enrollment ID: O20150127000965 |
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| Entity Name | Mercy Emergency Care Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477957819
PECOS PAC ID: 9436475795
Enrollment ID: O20150303001904 |
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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. Ahmad M Jadaan 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 M Jadaan, MD
90 Jackson Pike,
Gallipolis, OH 45631-1560
Ph: (740) 441-1934 | Ahmad M Jadaan, MD
500 Burlington Rd,
Jackson, OH 45640-9360
Ph: (740) 395-8316 |
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