Dr Adeel Ahmad, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Beckley, West Virginia. His current practice location is
94 Brookshire Ln, Beckley, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 252-2673.
Dr Adeel Ahmad is licensed to practice in West Virginia (license number 24872) 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 1578717997.
Physician's Profile
| Full Name | Dr Adeel Ahmad |
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| Gender | Male |
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| Speciality | Dermatology - Dermatopathology |
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| Location | 94 Brookshire Ln, Beckley, West Virginia |
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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: 1578717997
- Provider Enumeration Date: 11/12/2008
- Last Update Date: 11/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123274776
- Enrollment ID: I20120814000353
Medical Identifiers
Medical identifiers for Dr Adeel Ahmad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578717997 | NPI | - | NPPES |
| 1578717997 | Medicaid | WV | |
| 296329 | Other | NY | NYS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 24872 (West Virginia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | D82097 (Maryland) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | D82097 (Maryland) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 0101261587 (Virginia) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | D82097 (Maryland) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 24872 (West Virginia) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 24872 (West Virginia) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | D82097 (Maryland) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 236898 (Massachusetts) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 296329 (New York) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 24872 (West Virginia) | 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 Adeel Ahmad allows following entities to bill medicare on his behalf.
| Entity Name | Beckley Dermatology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720089279
PECOS PAC ID: 5496647067
Enrollment ID: O20040327000436 |
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| Entity Name | Pinnacle Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861930984
PECOS PAC ID: 8628353380
Enrollment ID: O20200911001979 |
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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 Adeel Ahmad 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 |
|---|
Dr Adeel Ahmad, MD
3810 Central Pike,
Hermitage, TN 37076-3494
Ph: (815) 744-8554 | Dr Adeel Ahmad, MD
94 Brookshire Ln,
Beckley, WV 25801-6765
Ph: (304) 252-2673 |
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