Dr Ed Adel Itawi, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Kalamazoo, Michigan. His current practice location is
601 John St, Suite M302, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 341-4890.
Dr Ed Adel Itawi is licensed to practice in Michigan (license number 4301084241) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366645574.
Physician's Profile
| Full Name | Dr Ed Adel Itawi |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 601 John St, Kalamazoo, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ed Adel Itawi attended and graduated from in
NPI Data:
- NPI Number: 1366645574
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ed Adel Itawi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366645574 | NPI | - | NPPES |
| 1366645574 | Medicaid | MI | |
| 1417961137 | Other | MI | BCBS - BRONSON |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 4301084241 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4301084241 (Michigan) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 4301084241 (Michigan) | Primary |
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 Ed Adel Itawi 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 Ed Adel Itawi, MD
601 John St, Suite M302,
Kalamazoo, MI 49007-5341
Ph: (269) 341-4890 | Dr Ed Adel Itawi, MD
601 John St, Suite M302,
Kalamazoo, MI 49007-5341
Ph: (269) 341-4890 |
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