Elias Emile Ayli, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Wake Forest, North Carolina. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Wake Skin Cancer Center, Pa and his current practice location is
11640 Northpark Dr Ste 200, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 436-4124.
Elias Emile Ayli is licensed to practice in North Carolina (license number 201702073) 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 1376706101.
Physician's Profile
| Full Name | Elias Emile Ayli |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 18 Years |
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| Location | 11640 Northpark Dr Ste 200, Wake Forest, North Carolina |
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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:
- Elias Emile Ayli attended and graduated from Philadelphia College Of Osteopathic Medicine in 2006
NPI Data:
- NPI Number: 1376706101
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224270277
- Enrollment ID: I20171205000772
Medical Identifiers
Medical identifiers for Elias Emile Ayli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376706101 | NPI | - | NPPES |
| 2017-02073 | Other | NC | NC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2017-02073 (North Carolina) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 201702073 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wake Skin Cancer Center, Pa | 0244573319 | 6 |
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. Elias Emile Ayli allows following entities to bill medicare on his behalf.
| Entity Name | Kenneth L Klein |
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| Entity Type | Practitioner - Dermatology |
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| Entity Identifiers | NPI Number: 1174507990
PECOS PAC ID: 0143414151
Enrollment ID: I20101103001339 |
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| Entity Name | Wake Skin Cancer Center, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497211189
PECOS PAC ID: 0244573319
Enrollment ID: O20190514001152 |
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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. Elias Emile Ayli 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 |
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Elias Emile Ayli, DO
3330 Cumberland Blvd Se Ste 200,
Atlanta, GA 30339-5996
Ph: (770) 951-8427 | Elias Emile Ayli, DO
11640 Northpark Dr Ste 200,
Wake Forest, NC 27587-5741
Ph: (919) 436-4124 |
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