Dr Ed Adel Itawi, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Kalamazoo, Michigan. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Bronson Methodist Hospital and his current practice location is
601 John St, Suite M302, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 341-4890.
Dr Ed Adel Itawi is licensed to practice in Michigan (license number 4301084241) 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 1366645574.
Physician's Profile
| Full Name | Dr Ed Adel Itawi |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 21 Years |
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| Location | 601 John St, Kalamazoo, Michigan |
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| 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:
- Dr Ed Adel Itawi graduated from medical school in 2004
NPI Data:
- NPI Number: 1366645574
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486847191
- Enrollment ID: I20101026000345
Medical Identifiers
Medical identifiers for Dr Ed Adel Itawi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366645574 | NPI | - | NPPES |
| 1366645574 | Medicaid | MI | |
| 1417961137 | Other | MI | BCBS - BRONSON |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 4301084241 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4301084241 (Michigan) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 4301084241 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Bronson Methodist Hospital | 0244148633 | 657 |
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 Ed Adel Itawi allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Providence Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
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| Entity Name | Bronson Methodist Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
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| Entity Name | Bronson Lakeview Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
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| Entity Name | Bronson Lakeview Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1962508259 PECOS PAC ID: 9032008495 Enrollment ID: O20080516000276 |
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| Entity Name | Acute Care Surgeons Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730415753 PECOS PAC ID: 6002956265 Enrollment ID: O20091218000206 |
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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. Dr Ed Adel Itawi 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 |
Dr Ed Adel Itawi, MD 601 John St, Suite M302, Kalamazoo, MI 49007-5341 Ph: (269) 341-4890 | Dr Ed Adel Itawi, MD 601 John St, Suite M302, Kalamazoo, MI 49007-5341 Ph: (269) 341-4890 |
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