Ajay Dalal, MD in Norwich, CT - Medicare Radiology

Ajay Dalal, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Norwich, Connecticut. His current practice location is 12 Case St, Norwich, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 887-5355.

Ajay Dalal is licensed to practice in Connecticut (license number 024690) 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 1093710782.

Contact Information

	Ajay Dalal, MD
	12 Case St, Norwich, CT 06360-2222
	(860) 887-5355
	Not Available

Map and Direction

Physician's Profile

Full Name	Ajay Dalal
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	12 Case St, Norwich, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093710782
Provider Enumeration Date: 06/17/2005
Last Update Date: 07/09/2021

Medicare PECOS Information:

PECOS PAC ID: 5597717041
Enrollment ID: I20181114000849

Medical Identifiers

Medical identifiers for Ajay Dalal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093710782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	024690 (Connecticut)	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. Ajay Dalal allows following entities to bill medicare on his behalf.

Entity Name	Mmg 1 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912933540 PECOS PAC ID: 6103738638 Enrollment ID: O20031104000106

Entity Name	Michigan Healthcare Professionals Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027

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. Ajay Dalal 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
Ajay Dalal, MD 3500: Kingsdale Blvd, Lake Orion, MI 48360 Ph: (860) 917-8837	Ajay Dalal, MD 12 Case St, Norwich, CT 06360-2222 Ph: (860) 887-5355

Reviews and Comments

Radiology Doctors in Norwich, CT

Michael Greenaway, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331
Sheida Mani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 326 Washington Street, Norwich, CT 06360 Phone: 860-892-2777 Fax: 860-892-2772
Dr. Ebenezer Asare, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331
Jeffrey Rudikoff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-823-6303
Herb Lustberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331
Felicia Cuomo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331

Ajay Dalal, MD - Medicare Radiology in Norwich, CT