Dr Syed Shujaat Ali, MD is a medicare enrolled "Family Medicine" physician in Newington, Connecticut. His current practice location is
555 Willard Ave, Newington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(866) 808-7921.
Dr Syed Shujaat Ali is licensed to practice in Massachusetts (license number 238145) 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 1508831256.
Physician's Profile
| Full Name | Dr Syed Shujaat Ali |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 555 Willard Ave, Newington, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508831256
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385679513
- Enrollment ID: I20090203000035
Medical Identifiers
Medical identifiers for Dr Syed Shujaat Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508831256 | NPI | - | NPPES |
| 110081065A | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 238145 (Massachusetts) | Primary |
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 Syed Shujaat Ali allows following entities to bill medicare on his behalf.
| Entity Name | Reliant Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
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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 Syed Shujaat Ali 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 Syed Shujaat Ali, MD 555 Willard Ave, Newington, CT 06111-2631 Ph: (866) 808-7921 | Dr Syed Shujaat Ali, MD 555 Willard Ave, Newington, CT 06111-2631 Ph: (866) 808-7921 |
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