Dr Jalla Tarak Mustafa, DO - Medicare Internal Medicine in Erie, PA

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Dr Jalla Tarak Mustafa, DO is a medicare enrolled "Internal Medicine" physician in Erie, Pennsylvania. He went to Lake Erie Col Of Osteo Med At Seton Hill Univ and graduated in 2019 and has 5 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Arizona Inpatient Medicine Associates Llc and his current practice location is 5515 Peach St, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 868-8217.

Dr Jalla Tarak Mustafa is licensed to practice in Pennsylvania (license number OT019576) 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 1609437219.

Contact Information

Dr Jalla Tarak Mustafa, DO
5515 Peach St,
Erie, PA 16509-2695
(814) 868-8217
Not Available

Map and Direction




Physician's Profile

Full NameDr Jalla Tarak Mustafa
GenderMale
SpecialityInternal Medicine
Experience5 Years
Location5515 Peach St, Erie, Pennsylvania
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 Jalla Tarak Mustafa attended and graduated from Lake Erie Col Of Osteo Med At Seton Hill Univ in 2019
  NPI Data:
  • NPI Number: 1609437219
  • Provider Enumeration Date: 06/25/2019
  • Last Update Date: 06/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678972502
  • Enrollment ID: I20220613000408

Medical Identifiers

Medical identifiers for Dr Jalla Tarak Mustafa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609437219NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OT019576 (Pennsylvania)Primary
207R00000XInternal Medicine 009516 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tucson Medical CenterTucson, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arizona Inpatient Medicine Associates Llc418368834461

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 Jalla Tarak Mustafa allows following entities to bill medicare on his behalf.
Entity NameArizona Inpatient Medicine Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083647754
PECOS PAC ID: 4183688344
Enrollment ID: O20041117000307
Entity NameNorthwest Hbp Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407353006
PECOS PAC ID: 8921356536
Enrollment ID: O20180730001756

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 Jalla Tarak Mustafa 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 Jalla Tarak Mustafa, DO
4106 Emerick Ct,
Erie, PA 16506-6410

Ph: (858) 213-3620		Dr Jalla Tarak Mustafa, DO
5515 Peach St,
Erie, PA 16509-2695

Ph: (814) 868-8217

Reviews and Comments


Internal Medicine Doctors in Erie, PA

Bushra Rizvi, MD
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Mr. Pradeep Dayanand, M.D.
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Dr. James Pawlak Iii, DO
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Practice Location: 5515 Peach St, Erie, PA 16509
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Dr. Theresa J Fryer, M.D.
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Phone: 814-868-8531    Fax: 814-866-1439
Mohamad Khaled Sabeh, M.D.
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Practice Location: 2315 Myrtle St Ste 190, Erie, PA 16502
Phone: 814-453-7767    Fax: 814-454-6667
Dr. Edward C Clark, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 311 W 24th St, Suite 402, Erie, PA 16502
Phone: 814-453-6687    Fax: 814-456-4676

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.