Mr Amir Abdelli, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Corvallis, Oregon. His current practice location is
4455 Ne Highway 20, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 234-9591.
Mr Amir Abdelli is licensed to practice in California (license number A164365) 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 1265782668.
Healthcare Provider's Profile
Full Name | Mr Amir Abdelli |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 4455 Ne Highway 20, Corvallis, Oregon |
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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: 1265782668
- Provider Enumeration Date: 09/12/2012
- Last Update Date: 05/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577999374
- Enrollment ID: I20221007001801
Medical Identifiers
Medical identifiers for Mr Amir Abdelli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265782668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (Oregon) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | A164365 (California) | 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 Amir Abdelli allows following entities to bill medicare on his behalf.
Entity Name | Mental Health Emergency Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255099941 PECOS PAC ID: 3274916044 Enrollment ID: O20220922000219 |
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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 Amir Abdelli 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 Amir Abdelli, 1001 Potrero Ave, San Francisco, CA 94110-3594 Ph: (628) 206-8426 | Mr Amir Abdelli, 4455 Ne Highway 20, Corvallis, OR 97330-9695 Ph: (503) 234-9591 |
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