Dr Mai Abdalla, DPT is a medicare enrolled "Specialist" provider in Brooklyn, New York. Her current practice location is
6919 4th Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 745-2020.
Dr Mai Abdalla is licensed to practice in New York (license number 0214641) 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 1245261916.
Healthcare Provider's Profile
| Full Name | Dr Mai Abdalla |
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| Gender | Female |
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| Speciality | Specialist |
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| Location | 6919 4th Ave, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245261916
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 06/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 4385653476
- Enrollment ID: I20060418000640
Medical Identifiers
Medical identifiers for Dr Mai Abdalla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245261916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 0214641 (* (Not Available)) | Secondary |
| 174400000X | Specialist | 0214641 (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. Dr Mai Abdalla allows following entities to bill medicare on her behalf.
| Provider Name | Crestwater Physical Therapy Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1083080576
PECOS PAC ID: 1355619800
Enrollment ID: O20170626000328 |
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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. Dr Mai Abdalla 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 |
|---|
Dr Mai Abdalla, DPT
45 Crestwater Ct,
Staten Island, NY 10305-4300
Ph: (718) 816-0413 | Dr Mai Abdalla, DPT
6919 4th Ave,
Brooklyn, NY 11209-1501
Ph: (718) 745-2020 |
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