Jamal D Dabbah, MD is a medicare enrolled "Family Medicine" provider in Mesa, Arizona. His current practice location is
2150 S Country Club Dr Ste 27, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 252-0881.
Jamal D Dabbah is licensed to practice in Arizona (license number 51454) 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 1427304963.
Healthcare Provider's Profile
| Full Name | Jamal D Dabbah |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2150 S Country Club Dr Ste 27, Mesa, Arizona |
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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: 1427304963
- Provider Enumeration Date: 08/02/2012
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840567640
- Enrollment ID: I20170531000732
Medical Identifiers
Medical identifiers for Jamal D Dabbah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427304963 | NPI | - | NPPES |
| 51454 | Other | AZ | MD LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 102L00000X | Psychoanalyst | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 51454 (Arizona) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 51454 (Arizona) | Secondary |
| 208D00000X | General Practice | 51454 (Arizona) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 51454 (Arizona) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 51454 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 51454 (Arizona) | 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. Jamal D Dabbah allows following entities to bill medicare on his behalf.
| Entity Name | Dwf Chiro Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831521871
PECOS PAC ID: 2860628328
Enrollment ID: O20131112000795 |
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| Entity Name | Mesa Physical Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154774305
PECOS PAC ID: 1557659745
Enrollment ID: O20161004000016 |
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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. Jamal D Dabbah 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 |
|---|
Jamal D Dabbah, MD
1840 E Warner Rd Ste 120,
Tempe, AZ 85284-3445
Ph: (480) 420-6303 | Jamal D Dabbah, MD
2150 S Country Club Dr Ste 27,
Mesa, AZ 85210-6860
Ph: (623) 252-0881 |
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