Ahmed Elisa, MD is a medicare enrolled "Allergy & Immunology" physician in Perrysburg, Ohio. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Promedica Central Physicians and his current practice location is
1620 Brigham Dr Ste 130, Perrysburg, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 893-7211.
Ahmed Elisa is licensed to practice in Ohio (license number 35.147046) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1245768738.
Physician's Profile
| Full Name | Ahmed Elisa |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 11 Years |
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| Location | 1620 Brigham Dr Ste 130, Perrysburg, Ohio |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ahmed Elisa graduated from medical school in 2013
NPI Data:
- NPI Number: 1245768738
- Provider Enumeration Date: 05/26/2017
- Last Update Date: 11/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416225172
- Enrollment ID: I20230908000937
Medical Identifiers
Medical identifiers for Ahmed Elisa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245768738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 4301502151 (Michigan) | Secondary |
| 208000000X | Pediatrics | 4301502151 (Michigan) | Secondary |
| 207K00000X | Allergy & Immunology | 35.147046 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Promedica Central Physicians | 2365348190 | 818 |
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. Ahmed Elisa allows following entities to bill medicare on his behalf.
| Entity Name | Promedica Central Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226 |
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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. Ahmed Elisa 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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Ahmed Elisa, MD
100 Madison Ave,
Toledo, OH 43604-1516
Ph: () - | Ahmed Elisa, MD
1620 Brigham Dr Ste 130,
Perrysburg, OH 43551-7124
Ph: (419) 893-7211 |
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