Dr Ghayth Hassan Al Awwa, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Johnson City, New York. His current practice location is
30 Harrison St Ste 250, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 763-6580.
Dr Ghayth Hassan Al Awwa is licensed to practice in New York (license number 334207) 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 1710403365.
Physician's Profile
| Full Name | Dr Ghayth Hassan Al Awwa |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 30 Harrison St Ste 250, Johnson City, New York |
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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: 1710403365
- Provider Enumeration Date: 08/16/2017
- Last Update Date: 08/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557724564
- Enrollment ID: I20230823003826
Medical Identifiers
Medical identifiers for Dr Ghayth Hassan Al Awwa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710403365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 334207 (New York) | Primary |
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 Ghayth Hassan Al Awwa 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 Ghayth Hassan Al Awwa, MD
33 Lewis Rd, Fl 2,
Binghamton, NY 13905
Ph: (607) 770-0025 | Dr Ghayth Hassan Al Awwa, MD
30 Harrison St Ste 250,
Johnson City, NY 13790-2176
Ph: (607) 763-6580 |
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