Luay D Ailabouni, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Richland, Washington. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Kadlec Regional Medical Center and his current practice location is
1100 Goethals Drive, 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 942-3185.
Luay D Ailabouni is licensed to practice in Washington (license number MD30623856) 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 1114186459.
Physician's Profile
Full Name | Luay D Ailabouni |
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Gender | Male |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 12 Years |
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Location | 1100 Goethals Drive, 2nd Floor, Richland, Washington |
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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. |
Medical Education and Training:
- Luay D Ailabouni graduated from medical school in 2012
NPI Data:
- NPI Number: 1114186459
- Provider Enumeration Date: 06/02/2008
- Last Update Date: 04/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527207273
- Enrollment ID: I20130610000725
Medical Identifiers
Medical identifiers for Luay D Ailabouni such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114186459 | NPI | - | NPPES |
0310710 | Other | WA | L&I |
500655571 | Medicaid | OR | |
1114186459 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD60323856 (Washington) | Secondary |
208C00000X | Colon & Rectal Surgery | MD30623856 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kadlec Regional Medical Center | 9739098617 | 347 |
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. Luay D Ailabouni allows following entities to bill medicare on his behalf.
Entity Name | Kadlec Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
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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. Luay D Ailabouni 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 |
Luay D Ailabouni, MD 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 Ph: (509) 942-3627 | Luay D Ailabouni, MD 1100 Goethals Drive, 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352-3304 Ph: (509) 942-3185 |
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