Dr Mamdouh N Mijalli, MD is a medicare enrolled "Surgery" physician in Dillon, South Carolina. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mcleod Physician Associates Ii and his current practice location is
705 N 8th Ave, Suite 2b, Dillon, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 841-3846.
Dr Mamdouh N Mijalli is licensed to practice in South Carolina (license number 29714) 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 1265507149.
Physician's Profile
| Full Name | Dr Mamdouh N Mijalli |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 31 Years |
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| Location | 705 N 8th Ave, Dillon, South Carolina |
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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. |
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Medical Education and Training:
- Dr Mamdouh N Mijalli graduated from medical school in 1993
NPI Data:
- NPI Number: 1265507149
- Provider Enumeration Date: 11/23/2006
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456446038
- Enrollment ID: I20070927000211
Medical Identifiers
Medical identifiers for Dr Mamdouh N Mijalli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265507149 | NPI | - | NPPES |
| 297146 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 29714 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mcleod Physician Associates Ii | 8224031307 | 520 |
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 Mamdouh N Mijalli allows following entities to bill medicare on his behalf.
| Entity Name | Mcleod Physician Associates Ii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801990494
PECOS PAC ID: 8224031307
Enrollment ID: O20060926000568 |
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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 Mamdouh N Mijalli 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 |
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Dr Mamdouh N Mijalli, MD
Po Box 3239,
Florence, SC 29502-3239
Ph: (843) 841-3846 | Dr Mamdouh N Mijalli, MD
705 N 8th Ave, Suite 2b,
Dillon, SC 29536-2549
Ph: (843) 841-3846 |
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