Annis Mohamed Bushaala Ali, MD in York, PA - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Annis Mohamed Bushaala Ali, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in York, Pennsylvania. His current practice location is 25 Monument Rd Ste 295, York, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 356-5864.

Annis Mohamed Bushaala Ali is licensed to practice in Pennsylvania (license number MD481917) 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 1447647904.

Contact Information

	Annis Mohamed Bushaala Ali, MD
	25 Monument Rd Ste 295, York, PA 17403-5049
	(717) 356-5864
	Not Available

Map and Direction

Physician's Profile

Full Name	Annis Mohamed Bushaala Ali
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	25 Monument Rd Ste 295, York, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447647904
Provider Enumeration Date: 04/22/2015
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2668782525
Enrollment ID: I20230907004061

Medical Identifiers

Medical identifiers for Annis Mohamed Bushaala Ali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447647904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD482147 (Pennsylvania)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	MD481917 (Pennsylvania)	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. Annis Mohamed Bushaala Ali allows following entities to bill medicare on his behalf.

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

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. Annis Mohamed Bushaala Ali 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
Annis Mohamed Bushaala Ali, MD 25 Monument Rd Ste 295, York, PA 17403-5049 Ph: (717) 356-5864	Annis Mohamed Bushaala Ali, MD 25 Monument Rd Ste 295, York, PA 17403-5049 Ph: (717) 356-5864

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in York, PA

Dr. David L Robaczewski, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 25 Monument Rd, York, PA 17403 Phone: 717-851-6454 Fax: 717-851-1665
A. Michael Borkon, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 30 Monument Rd Ste 1100, York, PA 17403 Phone: 717-851-6454 Fax: 717-851-1665
Dr. Nikhilesh M Korgaonkar, MD, MBA Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 25 Monument Rd Ste 295, York, PA 17403 Phone: 717-356-5864 Fax: 717-409-6221
Mark W Burlingame, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 30 Monument Street, Ste 1100, York, PA 17403 Phone: 717-851-6454
Dr. Ronson Joseph Madathil, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 30 Monument Rd Ste 1100, York, PA 17403 Phone: 717-851-6454 Fax: 717-851-1665
Scott Tiedebohl, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 25 Monument Rd Ste 295, York, PA 17403 Phone: 717-356-5864 Fax: 717-409-6221

Annis Mohamed Bushaala Ali, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in York, PA