Dr Sharif Ashanti Abdus-salaam, MD is a medicare enrolled "Orthopaedic Surgery" physician in Olive Branch, Mississippi. He went to Howard University College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Spg Ii Llc and his current practice location is
6518 Goodman Rd Ste 104, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 420-7350.
Dr Sharif Ashanti Abdus-salaam is licensed to practice in Mississippi (license number 21698) 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 1134386592.
Physician's Profile
| Full Name | Dr Sharif Ashanti Abdus-salaam |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 20 Years |
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| Location | 6518 Goodman Rd Ste 104, Olive Branch, Mississippi |
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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 Sharif Ashanti Abdus-salaam attended and graduated from Howard University College Of Medicine in 2004
NPI Data:
- NPI Number: 1134386592
- Provider Enumeration Date: 05/21/2008
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082752571
- Enrollment ID: I20100929000175
Medical Identifiers
Medical identifiers for Dr Sharif Ashanti Abdus-salaam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134386592 | NPI | - | NPPES |
| A108853 | Other | CA | CALIFORNIA LIC # |
| 45803 | Other | TN | TN MEDICAL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | A108853 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | 45803 (Tennessee) | Secondary |
| 207X00000X | Orthopaedic Surgery | 21698 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Spg Ii Llc | 7012177132 | 8 |
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 Sharif Ashanti Abdus-salaam allows following entities to bill medicare on his behalf.
| Entity Name | Spg Ii Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255602587
PECOS PAC ID: 7012177132
Enrollment ID: O20120328000259 |
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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 Sharif Ashanti Abdus-salaam 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 Sharif Ashanti Abdus-salaam, MD
1264 Wesley Dr, Suite 302,
Memphis, TN 38116-6400
Ph: (901) 260-2072 | Dr Sharif Ashanti Abdus-salaam, MD
6518 Goodman Rd Ste 104,
Olive Branch, MS 38654-9809
Ph: (662) 420-7350 |
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