Dr Ammer Al-dairi, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Pueblo, Colorado. His current practice location is
400 W 16th St, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 584-4000.
Dr Ammer Al-dairi is licensed to practice in Colorado (license number DR.0072768) 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 1477181352.
Physician's Profile
Full Name | Dr Ammer Al-dairi |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 400 W 16th St, Pueblo, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477181352
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395169320
- Enrollment ID: I20230830003623
Medical Identifiers
Medical identifiers for Dr Ammer Al-dairi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477181352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | LP05034 (Rhode Island) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | DR.0072768 (Colorado) | 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 Ammer Al-dairi allows following entities to bill medicare on his behalf.
Entity Name | Genesis Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
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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 Ammer Al-dairi 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 Ammer Al-dairi, 400 W 16th St, Pueblo, CO 81003-2745 Ph: (346) 719-1016 | Dr Ammer Al-dairi, 400 W 16th St, Pueblo, CO 81003-2745 Ph: (719) 584-4000 |
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