Al Haitham Al Shetawi, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Poughkeepsie, New York. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Nuvance Health Medical Practice, Pc and his current practice location is
45 Reade Pl, Dyson Center, 3rd Floor, Poughkeepsie, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 483-6920.
Al Haitham Al Shetawi is licensed to practice in New York (license number 282208) 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 1871760314.
Healthcare Provider's Profile
Full Name | Al Haitham Al Shetawi |
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Gender | Male |
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Speciality | Maxillofacial Surgery |
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Experience | 9 Years |
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Location | 45 Reade Pl, Poughkeepsie, New York |
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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:
- Al Haitham Al Shetawi attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2015
NPI Data:
- NPI Number: 1871760314
- Provider Enumeration Date: 05/14/2008
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739460742
- Enrollment ID: I20170817001587
Medical Identifiers
Medical identifiers for Al Haitham Al Shetawi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871760314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 054793 (New York) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 054793 (New York) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 282208 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Nuvance Health Medical Practice, Pc | 1658468442 | 457 |
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. Al Haitham Al Shetawi allows following entities to bill medicare on his behalf.
Entity Name | Nuvance Health Medical Practice, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436 |
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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. Al Haitham Al Shetawi 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 |
Al Haitham Al Shetawi, DMD, MD 1351 Route 55, Suite 200, Lagrangeville, NY 12540-5128 Ph: (845) 475-9661 | Al Haitham Al Shetawi, DMD, MD 45 Reade Pl, Dyson Center, 3rd Floor, Poughkeepsie, NY 12601-3947 Ph: (845) 483-6920 |
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