Rehan Ali, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Staten Island, New York. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Camden-clark Physician Corporation and his current practice location is
475 Seaview Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 226-8855.
Rehan Ali is licensed to practice in * (Not Available) (license number ) 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 1770080889.
Physician's Profile
| Full Name | Rehan Ali |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 12 Years |
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| Location | 475 Seaview Ave, Staten Island, New York |
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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:
- Rehan Ali graduated from medical school in 2013
NPI Data:
- NPI Number: 1770080889
- Provider Enumeration Date: 04/06/2018
- Last Update Date: 05/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 9133464829
- Enrollment ID: I20240812003088
Medical Identifiers
Medical identifiers for Rehan Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770080889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 4351045462 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Camden-clark Physician Corporation | 5294885661 | 254 |
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. Rehan Ali allows following entities to bill medicare on his behalf.
| Entity Name | Camden-clark Physician Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710125430
PECOS PAC ID: 5294885661
Enrollment ID: O20090604000570 |
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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. Rehan 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 |
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Rehan Ali, MD
475 Seaview Ave,
Staten Island, NY 10305-3436
Ph: () - | Rehan Ali, MD
475 Seaview Ave,
Staten Island, NY 10305-3436
Ph: (718) 226-8855 |
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