Mr Taaliba Al-alim Sahib Jr, AG ACNP is a medicare enrolled "Nurse Practitioner" physician in Glen Allen, Virginia. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mdics At Calvert Llc and his current practice location is
721 Mccormick Farm Dr Unit B, Glen Allen, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 214-3998.
Mr Taaliba Al-alim Sahib Jr is licensed to practice in Virginia (license number 0024175434) 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 1174979587.
Physician's Profile
Full Name | Mr Taaliba Al-alim Sahib Jr |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 12 Years |
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Location | 721 Mccormick Farm Dr Unit B, Glen Allen, Virginia |
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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:
- Mr Taaliba Al-alim Sahib Jr graduated from medical school in 2012
NPI Data:
- NPI Number: 1174979587
- Provider Enumeration Date: 05/05/2016
- Last Update Date: 05/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082973706
- Enrollment ID: I20220124002015
Medical Identifiers
Medical identifiers for Mr Taaliba Al-alim Sahib Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174979587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | AC004504 (Maryland) | Secondary |
363L00000X | Nurse Practitioner | 0024175434 (Virginia) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | RN228237 (Georgia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mdics At Calvert Llc | 6406017425 | 23 |
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. Mr Taaliba Al-alim Sahib Jr allows following entities to bill medicare on his behalf.
Entity Name | Mdics At Calvert Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033404207 PECOS PAC ID: 6406017425 Enrollment ID: O20120418000151 |
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Entity Name | Medstar Medical Group Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
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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. Mr Taaliba Al-alim Sahib Jr 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 |
Mr Taaliba Al-alim Sahib Jr, AG ACNP 100 Hospital Rd, Prince Frederick, MD 20678-4017 Ph: (757) 316-5800 | Mr Taaliba Al-alim Sahib Jr, AG ACNP 721 Mccormick Farm Dr Unit B, Glen Allen, VA 23060-4035 Ph: (757) 214-3998 |
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