Amirarsalan Eissa, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Tempe, Arizona. His current practice location is
2123 E Southern Ave, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 897-7044.
Amirarsalan Eissa is licensed to practice in Arizona (license number 50946) 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 1184913659.
Physician's Profile
| Full Name | Amirarsalan Eissa |
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| Gender | Male |
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| Speciality | Preventive Medicine - Addiction Medicine |
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| Location | 2123 E Southern Ave, Tempe, 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: 1184913659
- Provider Enumeration Date: 04/05/2011
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496033557
- Enrollment ID: I20180716003220
Medical Identifiers
Medical identifiers for Amirarsalan Eissa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184913659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 50946 (Arizona) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 50946 (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. Amirarsalan Eissa allows following entities to bill medicare on his behalf.
| Entity Name | Valle Del Sol Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831344035
PECOS PAC ID: 8628019148
Enrollment ID: O20050516000299 |
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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. Amirarsalan Eissa 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 |
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Amirarsalan Eissa, MD
5001 Spring Valley Road, Suite 600 East,
Dallas, TX 75244
Ph: () - | Amirarsalan Eissa, MD
2123 E Southern Ave,
Tempe, AZ 85282-7531
Ph: (480) 897-7044 |
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