Ezzaddin Al Wahsh, MD is a medicare enrolled "Hospitalist" physician in Parker, Arizona. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Galen Inpatient Physicians Pc, Douglas County Hospital, Mayo Clinic Health System-southwest Minnesota Region, Mayo Clinic Health System-fairmont and his current practice location is
12033 Agency Rd, Parker, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 669-2137.
Ezzaddin Al Wahsh is licensed to practice in California (license number 149189) 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 1033525456.
Physician's Profile
| Full Name | Ezzaddin Al Wahsh |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 15 Years |
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| Location | 12033 Agency Rd, Parker, Arizona |
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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:
- Ezzaddin Al Wahsh graduated from medical school in 2011
NPI Data:
- NPI Number: 1033525456
- Provider Enumeration Date: 07/07/2014
- Last Update Date: 08/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507156981
- Enrollment ID: I20170824003749
Medical Identifiers
Medical identifiers for Ezzaddin Al Wahsh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033525456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 67429 (Minnesota) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 67429 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | 67429 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | 149189 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Galen Inpatient Physicians Pc | 3678464633 | 692 |
| Douglas County Hospital | 0648171413 | 110 |
| Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 605 |
| Mayo Clinic Health System-fairmont | 4981694981 | 139 |
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. Ezzaddin Al Wahsh allows following entities to bill medicare on his behalf.
| Entity Name | Galen Inpatient Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680 |
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| Entity Name | Karthikeya Devireddy Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518089507
PECOS PAC ID: 3072566728
Enrollment ID: O20080115000741 |
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| Entity Name | Kd Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457522567
PECOS PAC ID: 2860553468
Enrollment ID: O20081201000491 |
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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. Ezzaddin Al Wahsh 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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Ezzaddin Al Wahsh, MD
2925 Chicago Ave,
Minneapolis, MN 55407-1321
Ph: (612) 863-4000 | Ezzaddin Al Wahsh, MD
12033 Agency Rd,
Parker, AZ 85344-7718
Ph: (928) 669-2137 |
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