Jaudat Mahmood, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Kent, Ohio. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Shannon Clinic and his current practice location is
307 W Main St, Kent, Ohio. You can reach out to his office (for appointments etc.) via phone at
(800) 941-6672.
Jaudat Mahmood is licensed to practice in Texas (license number T1144) 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 1295154649.
Physician's Profile
| Full Name | Jaudat Mahmood |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 11 Years |
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| Location | 307 W Main St, Kent, Ohio |
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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:
- Jaudat Mahmood attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2014
NPI Data:
- NPI Number: 1295154649
- Provider Enumeration Date: 04/14/2014
- Last Update Date: 05/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416257662
- Enrollment ID: I20210520000758
Medical Identifiers
Medical identifiers for Jaudat Mahmood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295154649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | 35.136152 (Ohio) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 35.136152 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | T1144 (Texas) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35.136152 (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shannon Clinic | 0840103727 | 411 |
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. Jaudat Mahmood allows following entities to bill medicare on his behalf.
| Entity Name | Shannon Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702 |
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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. Jaudat Mahmood 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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Jaudat Mahmood,
120 E Beauregard Ave,
San Angelo, TX 76903-5919
Ph: () - | Jaudat Mahmood,
307 W Main St,
Kent, OH 44240-2400
Ph: (800) 941-6672 |
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