Dr Abdul Mounnem Yassin Kassab, MD is a medicare enrolled "Neurological Surgery" physician in Wauwatosa, Wisconsin. His current practice location is
9200 W Wisconsin Ave, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 805-8710.
Dr Abdul Mounnem Yassin Kassab is licensed to practice in Wisconsin (license number 82166-20) 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 1508608613.
Physician's Profile
| Full Name | Dr Abdul Mounnem Yassin Kassab |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 9200 W Wisconsin Ave, Wauwatosa, Wisconsin |
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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: 1508608613
- Provider Enumeration Date: 06/10/2024
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688110869
- Enrollment ID: I20240724001349
Medical Identifiers
Medical identifiers for Dr Abdul Mounnem Yassin Kassab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508608613 | NPI | - | NPPES |
| 100282514 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | 82166-20 (Wisconsin) | 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. Dr Abdul Mounnem Yassin Kassab allows following entities to bill medicare on his behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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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. Dr Abdul Mounnem Yassin Kassab 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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Dr Abdul Mounnem Yassin Kassab, MD
9200 W Wisconsin Ave,
Wauwatosa, WI 53226-3522
Ph: (414) 805-8710 | Dr Abdul Mounnem Yassin Kassab, MD
9200 W Wisconsin Ave,
Wauwatosa, WI 53226-3522
Ph: (414) 805-8710 |
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