Dr Talal Imad Mousallem, MD in Winston Salem, NC

Dr Talal Imad Mousallem, MD is a medicare enrolled "Pediatrics - Pediatric Allergy/immunology" physician in Winston Salem, North Carolina. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Duke Health Integrated Practice Inc and his current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2255.

Dr Talal Imad Mousallem is licensed to practice in North Carolina (license number 2010-01468) 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 1487812749.

Contact Information

	Dr Talal Imad Mousallem, MD
	Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Talal Imad Mousallem
Gender	Male
Speciality	Pediatric Medicine
Experience	21 Years
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Talal Imad Mousallem graduated from medical school in 2003

NPI Data:

NPI Number: 1487812749
Provider Enumeration Date: 05/22/2008
Last Update Date: 12/18/2014

Medicare PECOS Information:

PECOS PAC ID: 7517197379
Enrollment ID: I20140224001149

Medical Identifiers

Medical identifiers for Dr Talal Imad Mousallem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487812749	NPI	-	NPPES
1487812749	Medicaid	NC
1846B	Other	NC	BCBS
276230	Other	NC	MEDCOST
3846320	Other	NC	UHC
1487812749	Other	NC	TRICARE
1487812749	Other	VA	VIRGINIA MEDICAID
4762627	Other	NC	AETNA
Q0146O	Other	SC	SC MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0201X	Pediatrics - Pediatric Allergy/immunology	2010-01468 (North Carolina)	Primary
207K00000X	Allergy & Immunology	2010-01468 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Duke Health Integrated Practice Inc	8325412737	2636

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 Talal Imad Mousallem allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Wake Forest Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868

Entity Name	Private Diagnostic Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577

Entity Name	Duke Health Integrated Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247

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 Talal Imad Mousallem 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 Talal Imad Mousallem, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255	Dr Talal Imad Mousallem, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255

Reviews and Comments

Pediatrics Doctors in Winston Salem, NC

Niyati Mahajan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2295 E 14th St, Winston Salem, NC 27105 Phone: 336-713-8860 Fax: 336-713-8862
Dr. Soren Morgan Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 Phone: 336-718-8000 Fax: 336-718-8011
Jane Meschan Foy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Modupeola O Akinola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
David Scott Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 Phone: 336-718-8000 Fax: 336-718-8011
Dr. Veronica Nicola Wiltshire, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Brookview Hills Blvd Ste 201, Winston Salem, NC 27103 Phone: 336-713-8660 Fax: 336-702-9276
Mrs. Julie Renee Kerth, CPNP-AC Pediatrics Medicare: Medicare Enrolled Practice Location: Wake Forest Baptist Medical Center 1, Winston Salem, NC 27157 Phone: 336-713-4500

Dr Talal Imad Mousallem, MD - Medicare Pediatric Medicine in Winston Salem, NC