Jalal Shoukri Kablan, CRNA in Concord, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Jalal Shoukri Kablan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Concord, North Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Musc Community Physicians, Chs Anesthesia Services Group Inc, Medstream Anesthesia Pllc and his current practice location is 1070 Vinehaven Dr Ne, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 783-1840.

Jalal Shoukri Kablan is licensed to practice in North Carolina (license number 126185) 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 1689239394.

Contact Information

	Jalal Shoukri Kablan, CRNA
	1070 Vinehaven Dr Ne, Concord, NC 28025-2438
	(704) 783-1840
	Not Available

Map and Direction

Provider's Profile

Full Name	Jalal Shoukri Kablan
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	1070 Vinehaven Dr Ne, Concord, North Carolina
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:

Jalal Shoukri Kablan graduated from nursing school in 2019

NPI Data:

NPI Number: 1689239394
Provider Enumeration Date: 05/08/2019
Last Update Date: 03/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4385971803
Enrollment ID: I20190807000143

Medical Identifiers

Medical identifiers for Jalal Shoukri Kablan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689239394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	22901 (South Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	126185 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center-northeast	Concord, NC	Hospital
Northern Regional Hospital	Mount airy, NC	Hospital
Musc Health Lancaster Medical Center	Lancaster, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Musc Community Physicians	6507260668	698
Chs Anesthesia Services Group Inc	5799007324	548
Medstream Anesthesia Pllc	7416198049	566

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. Jalal Shoukri Kablan allows following entities to bill medicare on his behalf.

Entity Name	Carolina Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021

Entity Name	Providence Anesthesiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20180402000964

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Jalal Shoukri Kablan 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
Jalal Shoukri Kablan, CRNA Po Box 935722, Atlanta, GA 31193-5722 Ph: (843) 792-6200	Jalal Shoukri Kablan, CRNA 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 Ph: (704) 783-1840

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Concord, NC

Gail Sutton Wooley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-355-2000
Terri Crockett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Mary Jean Detchemendy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235 Fax: 704-783-2527
Mr. Michael T Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-1622 Fax: 704-783-2527
Janet Patty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Virginia Norris Rogers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Mrs. Erin Lavalley Moser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4339

Jalal Shoukri Kablan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Concord, NC