Dr Mustafa Syed Badrudduja, MD is a medicare enrolled "Surgery" physician in Kenosha, Wisconsin. He went to Wright State University Boonshoft School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Jandali Surgical Associates, S.c. and his current practice location is
6308 8th Ave, Suite 3050, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 654-7002.
Dr Mustafa Syed Badrudduja is licensed to practice in Wisconsin (license number 51809) 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 1083744486.
Physician's Profile
| Full Name | Dr Mustafa Syed Badrudduja |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 17 Years |
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| Location | 6308 8th Ave, Kenosha, Wisconsin |
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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 Mustafa Syed Badrudduja attended and graduated from Wright State University Boonshoft School Of Medicine in 2008
NPI Data:
- NPI Number: 1083744486
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 11/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 6507939329
- Enrollment ID: I20080725000691
Medical Identifiers
Medical identifiers for Dr Mustafa Syed Badrudduja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083744486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 35.087678 (Ohio) | Secondary |
| 208600000X | Surgery | 51809 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jandali Surgical Associates, S.c. | 2860461811 | 2 |
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 Mustafa Syed Badrudduja allows following entities to bill medicare on his behalf.
| Entity Name | Jandali Surgical Associates Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528101433
PECOS PAC ID: 2860461811
Enrollment ID: O20040928000126 |
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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 Mustafa Syed Badrudduja 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 Mustafa Syed Badrudduja, MD
6308 8th Ave, Suite 3050,
Kenosha, WI 53143-5031
Ph: (262) 654-7002 | Dr Mustafa Syed Badrudduja, MD
6308 8th Ave, Suite 3050,
Kenosha, WI 53143-5031
Ph: (262) 654-7002 |
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