Dr Agustin Maria Abdallah, MD in Los Angeles, CA

Dr Agustin Maria Abdallah, MD is a medicare enrolled "Internal Medicine" physician in Los Angeles, California. His current practice location is 245 S Fetterly Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 362-1010.

Dr Agustin Maria Abdallah is licensed to practice in California (license number 141310) 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 1134524184.

Contact Information

	Dr Agustin Maria Abdallah, MD
	245 S Fetterly Ave, Los Angeles, CA 90022-1605
	(323) 362-1010
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Agustin Maria Abdallah
Gender	Male
Speciality	Internal Medicine
Location	245 S Fetterly Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134524184
Provider Enumeration Date: 11/01/2014
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 6002150877
Enrollment ID: I20221117003194

Medical Identifiers

Medical identifiers for Dr Agustin Maria Abdallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134524184	NPI	-	NPPES
AA3232267556	Other		AA3232267556

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	141310 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	141310 (California)	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 Agustin Maria Abdallah allows following entities to bill medicare on his behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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 Agustin Maria Abdallah 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 Agustin Maria Abdallah, MD 1200 N State St, Ct-a7d, Los Angeles, CA 90033-1029 Ph: (323) 226-7556	Dr Agustin Maria Abdallah, MD 245 S Fetterly Ave, Los Angeles, CA 90022-1605 Ph: (323) 362-1010

Reviews and Comments

Internal Medicine Doctors in Los Angeles, CA

Dr. Linda Fong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290
Dr. Robert Peter Gale, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010
Dr. Tarek Alasil, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290
David Michael Tellalian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308
Dr. Jan B King, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701
Dr. Caroline Hwang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100
Dr. Jennifer A Fulcher, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225

Dr Agustin Maria Abdallah, MD - Medicare Internal Medicine in Los Angeles, CA