Mannal J Abdalla, FNP, RN, CSA is a medicare enrolled "Nurse Practitioner - Family" physician in Phoenix, Arizona. Her current practice location is
18402 N 14th St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(361) 633-9838.
Mannal J Abdalla is licensed to practice in Arizona (license number CNP230211) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598258014.
Physician's Profile
Full Name | Mannal J Abdalla |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 18402 N 14th St, Phoenix, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598258014
- Provider Enumeration Date: 06/08/2018
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224570577
- Enrollment ID: I20240603001283
Medical Identifiers
Medical identifiers for Mannal J Abdalla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598258014 | NPI | - | NPPES |
17-603 | Other | AZ | AMERICAN BOARD OF SURGICAL ASSISTANTS; SURGICAL FIRST ASSIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | RN181727 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP230211 (Arizona) | Primary |
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. Mannal J Abdalla allows following entities to bill medicare on her behalf.
Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
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Entity Name | Kayenta Alternative Rural Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
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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. Mannal J Abdalla 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 |
Mannal J Abdalla, FNP, RN, CSA 18402 N 14th St, Phoenix, AZ 85022-1284 Ph: (361) 633-9838 | Mannal J Abdalla, FNP, RN, CSA 18402 N 14th St, Phoenix, AZ 85022-1284 Ph: (361) 633-9838 |
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