Dr Abdulfatah M Ali, MD - Medicare Ophthalmology in Plano, TX

Dr Abdulfatah M Ali, MD is a medicare enrolled "Ophthalmology" physician in Plano, Texas. He went to Medical College Of Wisconsin and graduated in 1997 and has 27 years of diverse experience with area of expertise as Ophthalmology. His current practice location is 4108 West 15th St., Suite 200, Plano, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 379-3937.

Dr Abdulfatah M Ali is licensed to practice in Texas (license number P0532) 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 1053382937.

Contact Information

Dr Abdulfatah M Ali, MD
4108 West 15th St., Suite 200,
Plano, TX 75075-5841
(972) 379-3937
(972) 379-3938

Map and Direction




Physician's Profile

Full NameDr Abdulfatah M Ali
GenderMale
SpecialityOphthalmology
Experience27 Years
Location4108 West 15th St., Plano, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Abdulfatah M Ali attended and graduated from Medical College Of Wisconsin in 1997
  NPI Data:
  • NPI Number: 1053382937
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 07/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3274588389
  • Enrollment ID: I20111117000467

Medical Identifiers

Medical identifiers for Dr Abdulfatah M Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053382937NPI-NPPES
84833378MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology DR43898 (Colorado)Secondary
207W00000XOphthalmology P0532 (Texas)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. Dr Abdulfatah M Ali allows following entities to bill medicare on his behalf.
Entity NameTexas Eye Surgeons Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285989228
PECOS PAC ID: 5092968164
Enrollment ID: O20130124000082

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. Dr Abdulfatah M Ali 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 AddressPractice Location Address
Dr Abdulfatah M Ali, MD
4108 West 15th St., Suite 200,
Plano, TX 75075-5841

Ph: (972) 379-3937
Dr Abdulfatah M Ali, MD
4108 West 15th St., Suite 200,
Plano, TX 75075-5841

Ph: (972) 379-3937

Reviews and Comments


Ophthalmology Doctors in Plano, TX

Dr. Yasser Elshatory, MD
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Matthew Kenneth Adams, MD
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Dr. Ellen Ngo, M.D
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David R Stager Sr., M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3801 W 15th St, A-110, Plano, TX 75075
Phone: 214-281-1878    Fax: 972-964-5725
Dr. David Lu, M.D.
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Medicare: May Accept Medicare Assignments
Practice Location: 1201 N Central Expy, Plano, TX 75075
Phone: 972-424-5811    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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