Mr Ahmad Taha Abulaban, PT is a medicare enrolled "Physical Therapist" provider in Algonac, Michigan. His current practice location is
329 Columbia St, Algonac, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 794-8040.
Mr Ahmad Taha Abulaban is licensed to practice in Michigan (license number 5501004921) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063607745.
Healthcare Provider's Profile
Full Name | Mr Ahmad Taha Abulaban |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 329 Columbia St, Algonac, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063607745
- Provider Enumeration Date: 09/06/2007
- Last Update Date: 09/06/2007
Medicare PECOS Information:
- PECOS PAC ID: 9234033614
- Enrollment ID: I20220228001461
Medical Identifiers
Medical identifiers for Mr Ahmad Taha Abulaban such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063607745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 5501004921 (Michigan) | 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. Mr Ahmad Taha Abulaban allows following entities to bill medicare on his behalf.
Provider Name | Michigan Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1003448994 PECOS PAC ID: 9032549217 Enrollment ID: O20200501000804 |
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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. Mr Ahmad Taha Abulaban 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 |
Mr Ahmad Taha Abulaban, PT 6344 Middlesex St, Dearborn, MI 48126-6800 Ph: (313) 729-8554 | Mr Ahmad Taha Abulaban, PT 329 Columbia St, Algonac, MI 48001-1543 Ph: (810) 794-8040 |
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