Dr Bassam N Odatalla, MD - Medicare Family Practice in Fairfield, NJ

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Dr Bassam N Odatalla, MD is a medicare enrolled "Family Medicine" physician in Fairfield, New Jersey. He graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hackensack Meridian Urgent Care Pc and his current practice location is 200 Fairfield Rd, Fairfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 487-1944.

Dr Bassam N Odatalla is licensed to practice in New Jersey (license number 08610800) 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 1063620060.

Contact Information

Dr Bassam N Odatalla, MD
200 Fairfield Rd,
Fairfield, NJ 07004-2426
(973) 487-1944
(973) 487-1945

Map and Direction




Physician's Profile

Full NameDr Bassam N Odatalla
GenderMale
SpecialityFamily Practice
Experience20 Years
Location200 Fairfield Rd, Fairfield, New Jersey
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 Bassam N Odatalla graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1063620060
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 08/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0345386348
  • Enrollment ID: I20091006000017

Medical Identifiers

Medical identifiers for Dr Bassam N Odatalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063620060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 08610800 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackensack Meridian Urgent Care Pc276975127039

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 Bassam N Odatalla allows following entities to bill medicare on his behalf.
Entity NameExcel Urgent Care Of Paramus Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063652220
PECOS PAC ID: 3971656018
Enrollment ID: O20090806000449
Entity NameDrx Paramus, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316272685
PECOS PAC ID: 2466589585
Enrollment ID: O20100422000051
Entity NameDoctors Office Of West Caldwell Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144524786
PECOS PAC ID: 7416130448
Enrollment ID: O20110329000053
Entity NameThe Doctors Office Of Manalapan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356604409
PECOS PAC ID: 8022268069
Enrollment ID: O20121029000009
Entity NameJersey Irish Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144575739
PECOS PAC ID: 0941451215
Enrollment ID: O20121114000210
Entity NameDoctors Office Of Brick
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184067944
PECOS PAC ID: 1254575061
Enrollment ID: O20130918000138
Entity NameBrowne Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851733349
PECOS PAC ID: 9032347281
Enrollment ID: O20140114001594
Entity NameExcel Urgent Care Of Nj
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255742243
PECOS PAC ID: 9638396849
Enrollment ID: O20140812002211
Entity NameDoctors Office Of New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508264177
PECOS PAC ID: 5799001731
Enrollment ID: O20150310000671
Entity NameHackensack Meridian Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285165209
PECOS PAC ID: 2769751270
Enrollment ID: O20170627000265

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 Bassam N Odatalla 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 Bassam N Odatalla, MD
200 Fairfield Rd,
Fairfield, NJ 07004-2426

Ph: (973) 487-1944		Dr Bassam N Odatalla, MD
200 Fairfield Rd,
Fairfield, NJ 07004-2426

Ph: (973) 487-1944

Reviews and Comments


Family Medicine Doctors in Fairfield, NJ

Joseph Brian Liotti, D.O., FAOASM
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 125 Sand Rd, Fairfield, NJ 07004
Phone: 973-808-9242    Fax: 973-244-0585
Dr. Linda R Liotti, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 125 Sand Rd, Fairfield, NJ 07004
Phone: 973-808-9242    Fax: 973-244-0585
Dr. Dena L Lacara, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 333 Us Highway 46 # A, Fairfield, NJ 07004
Phone: 973-943-4300    Fax: 973-227-3335

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.