Dr Sam Ahdab, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in West Covina, California. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Pain Management. His current practice location is
1433 W Merced Ave Ste 311, West Covina, California. You can reach out to his office (for appointments etc.) via phone at
(626) 506-2648.
Dr Sam Ahdab is licensed to practice in California (license number A126658) 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 1992941397.
Physician's Profile
| Full Name | Dr Sam Ahdab |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 19 Years |
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| Location | 1433 W Merced Ave Ste 311, West Covina, California |
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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 Sam Ahdab graduated from medical school in 2005
NPI Data:
- NPI Number: 1992941397
- Provider Enumeration Date: 01/06/2009
- Last Update Date: 07/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 2365606753
- Enrollment ID: I20140313002132
Medical Identifiers
Medical identifiers for Dr Sam Ahdab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992941397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 126658 (California) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 126658 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 126658 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A126658 (California) | Primary |
Medical Facilities Affiliation
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 Sam Ahdab allows following entities to bill medicare on his behalf.
| Entity Name | Inpatient Specialists Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915 |
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| Entity Name | Libra Pain Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477952117
PECOS PAC ID: 9931417805
Enrollment ID: O20150928000799 |
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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 Sam Ahdab 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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Dr Sam Ahdab, MD
1433 W Merced Ave Ste 311,
West Covina, CA 91790-3402
Ph: (323) 217-2856 | Dr Sam Ahdab, MD
1433 W Merced Ave Ste 311,
West Covina, CA 91790
Ph: (626) 506-2648 |
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