Menatallah Ihab Elkoush, DO in Liverpool, NY

Menatallah Ihab Elkoush, DO is a medicare enrolled "Family Medicine" physician in Liverpool, New York. Her current practice location is 4820 W Taft Rd Ste 108, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at (315) 413-0004.

Menatallah Ihab Elkoush is licensed to practice in New York (license number 331636) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396312229.

Contact Information

	Menatallah Ihab Elkoush, DO
	4820 W Taft Rd Ste 108, Liverpool, NY 13088-4865
	(315) 413-0004
	(315) 413-0827

Map and Direction

Physician's Profile

Full Name	Menatallah Ihab Elkoush
Gender	Female
Speciality	Family Medicine
Location	4820 W Taft Rd Ste 108, Liverpool, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396312229
Provider Enumeration Date: 06/09/2021
Last Update Date: 07/24/2025

Medicare PECOS Information:

PECOS PAC ID: 7911300686
Enrollment ID: I20240910000747

Medical Identifiers

Medical identifiers for Menatallah Ihab Elkoush such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396312229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	331636 (New York)	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. Menatallah Ihab Elkoush allows following entities to bill medicare on her behalf.

Entity Name	Syracuse Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443

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. Menatallah Ihab Elkoush 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
Menatallah Ihab Elkoush, DO 1001 W Fayette St Ste 400, Syracuse, NY 13204-2866 Ph: (315) 937-3026	Menatallah Ihab Elkoush, DO 4820 W Taft Rd Ste 108, Liverpool, NY 13088-4865 Ph: (315) 413-0004

Reviews and Comments

Family Medicine Doctors in Liverpool, NY

Brian Keith Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8324 Oswego Rd, Ste D, Liverpool, NY 13090 Phone: 315-652-6551 Fax: 315-652-7039
Gary M Freeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4820 W Taft Rd, Ste 215, Liverpool, NY 13088 Phone: 315-413-0004 Fax: 315-413-0828
Christian L Holcomb, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8134a Oswego Rd, Liverpool, NY 13090 Phone: 315-409-4514 Fax: 315-409-4537
Michael H Tong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Liverpool, NY 13088 Phone: 315-452-2829 Fax: 315-452-2870
Heather J Finger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8324 Oswego Rd Ste D, Liverpool, NY 13090 Phone: 315-652-6551
Aaron Garber, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088 Phone: 315-452-2333 Fax: 315-452-2336
Lauri Ann Fairbanks Doane, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8100 Oswego Road, Suite 220, Liverpool, NY 13090 Phone: 315-652-6551 Fax: 315-652-9698

Menatallah Ihab Elkoush, DO - Medicare Family Medicine in Liverpool, NY