Shareef Jandali, MD in Trumbull, CT - Medicare Plastic And Reconstructive Surgery

Shareef Jandali, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Trumbull, Connecticut. He went to State University Of Ny Upstate Medical University and graduated in 2005 and has 20 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Shareef Jandali Plastic Surgery Llc and his current practice location is 5520 Park Ave, Suite Wp-2-300, Trumbull, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 374-0310.

Shareef Jandali is licensed to practice in Connecticut (license number 049538) 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 1265598130.

Contact Information

	Shareef Jandali, MD
	5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463
	(203) 374-0310
	(203) 374-0314

Map and Direction

Physician's Profile

Full Name	Shareef Jandali
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	20 Years
Location	5520 Park Ave, Trumbull, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shareef Jandali attended and graduated from State University Of Ny Upstate Medical University in 2005

NPI Data:

NPI Number: 1265598130
Provider Enumeration Date: 12/28/2006
Last Update Date: 10/11/2019

Medicare PECOS Information:

PECOS PAC ID: 0840476503
Enrollment ID: I20110512000867

Medical Identifiers

Medical identifiers for Shareef Jandali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265598130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	049538 (Connecticut)	Primary
208200000X	Plastic Surgery	MT185935 (Pennsylvania)	Secondary
208200000X	Plastic Surgery	MD 049538 (Connecticut)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shareef Jandali Plastic Surgery Llc	4981880648	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. Shareef Jandali allows following entities to bill medicare on his behalf.

Entity Name	Shareef Jandali Plastic Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730488982 PECOS PAC ID: 4981880648 Enrollment ID: O20110512000812

Entity Name	The Diep Group Ct Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164143566 PECOS PAC ID: 6103359294 Enrollment ID: O20241028003372

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. Shareef Jandali 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
Shareef Jandali, MD 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463 Ph: (203) 374-0310	Shareef Jandali, MD 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611-3463 Ph: (203) 374-0310

Reviews and Comments

Surgery Doctors in Trumbull, CT

Noah Solomon Kinstlinger, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 112 Quarry Rd, Trumbull, CT 06611 Phone: 203-785-2561
Daniel J Passeri, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 888 White Plains Rd, Suite 206, Trumbull, CT 06611 Phone: 203-459-8555 Fax: 203-459-2666
Timothy B Ehrlich Ii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 115 Technology Drive, Suite C100, Trumbull, CT 06611 Phone: 203-899-0744 Fax: 203-268-6779
Melanie A Lynch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave Ste 1-500, Trumbull, CT 06611 Phone: 203-254-2381 Fax: 203-337-8788
Ahmad Fotovat, MD Surgery Medicare: Medicare Enrolled Practice Location: 115 Technology Dr, C-100, Trumbull, CT 06611 Phone: 203-268-5212 Fax: 203-268-6779

Shareef Jandali, MD - Medicare Plastic And Reconstructive Surgery in Trumbull, CT