Dilip K Ujla, MD is a medicare enrolled "Family Medicine" physician in Garfield Hts, Ohio. His current practice location is
12300 Mccracken Rd, Garfield Hts, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 581-0500.
Dilip K Ujla is licensed to practice in Ohio (license number 35-043421) 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 1609851831.
Physician's Profile
| Full Name | Dilip K Ujla |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 12300 Mccracken Rd, Garfield Hts, Ohio |
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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: 1609851831
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 07/11/2007
Medicare PECOS Information:
- PECOS PAC ID: 6608911169
- Enrollment ID: I20100308001008
Medical Identifiers
Medical identifiers for Dilip K Ujla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609851831 | NPI | - | NPPES |
| 0396281 | Medicaid | OH | |
| 000000188293 | Other | OH | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 35-043421 (Ohio) | 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. Dilip K Ujla allows following entities to bill medicare on his behalf.
| Entity Name | North East Ohio Group Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063575462
PECOS PAC ID: 8426960618
Enrollment ID: O20031105000352 |
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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. Dilip K Ujla 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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Dilip K Ujla, MD
Po Box 73327,
Cleveland, OH 44193-1094
Ph: (440) 879-0081 | Dilip K Ujla, MD
12300 Mccracken Rd,
Garfield Hts, OH 44125-2914
Ph: (216) 581-0500 |
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