Dr Ali Mohammed Waliul Islam, DO - Medicare Family Medicine in Port Chester, NY

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Dr Ali Mohammed Waliul Islam, DO is a medicare enrolled "Family Medicine" physician in Port Chester, New York. His current practice location is 5 Grace Church St, Port Chester, New York. You can reach out to his office (for appointments etc.) via phone at (914) 937-8899.

Dr Ali Mohammed Waliul Islam is licensed to practice in New York (license number 253012) 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 1235369463.

Contact Information

Dr Ali Mohammed Waliul Islam, DO
5 Grace Church St,
Port Chester, NY 10573-4911
(914) 937-8899
Not Available

Map and Direction




Physician's Profile

Full NameDr Ali Mohammed Waliul Islam
GenderMale
SpecialityFamily Medicine
Location5 Grace Church St, Port Chester, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235369463
  • Provider Enumeration Date: 07/22/2009
  • Last Update Date: 10/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2567716046
  • Enrollment ID: I20181120000942

Medical Identifiers

Medical identifiers for Dr Ali Mohammed Waliul Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235369463NPI-NPPES
03147037MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 253012 (New York)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 Ali Mohammed Waliul Islam allows following entities to bill medicare on his behalf.
Entity NameDamian Family Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508955592
PECOS PAC ID: 6507849882
Enrollment ID: O20151015001737

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 Ali Mohammed Waliul Islam 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 AddressPractice Location Address
Dr Ali Mohammed Waliul Islam, DO
2604 3rd Ave,
Bronx, NY 10454-1199

Ph: (718) 292-0100		Dr Ali Mohammed Waliul Islam, DO
5 Grace Church St,
Port Chester, NY 10573-4911

Ph: (914) 937-8899

Reviews and Comments


Family Medicine Doctors in Port Chester, NY

Julia Emma Medina, PA-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5 Grace Church St, Port Chester, NY 10573
Phone: 914-632-2737    
Dr. Jorge Martin Espana, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5 Grace Church St, Port Chester, NY 10573
Phone: 914-937-8899    Fax: 914-937-7932
Mr. Mathew P Thomas, NP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 97 Hobart Ave, Port Chester, NY 10573
Phone: 914-207-4363    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.