Shadi Ayyas, MD is a medicare enrolled "General Practice" physician in Ashburn, Virginia. His current practice location is
44050 Ashburn Shopping Plz Ste 179, Ashburn, Virginia. You can reach out to his office (for appointments etc.) via phone at
(202) 766-3019.
Shadi Ayyas is licensed to practice in Virginia (license number 0101255466) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629490172.
Physician's Profile
Full Name | Shadi Ayyas |
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Gender | Male |
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Speciality | General Practice |
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Location | 44050 Ashburn Shopping Plz Ste 179, Ashburn, Virginia |
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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: 1629490172
- Provider Enumeration Date: 01/16/2014
- Last Update Date: 07/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274750708
- Enrollment ID: I20140807000380
Medical Identifiers
Medical identifiers for Shadi Ayyas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629490172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0101255466 (Virginia) | Secondary |
208D00000X | General Practice | 0101255466 (Virginia) | 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. Shadi Ayyas allows following entities to bill medicare on his behalf.
Entity Name | Medics Usa Medical Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679608061 PECOS PAC ID: 9032278247 Enrollment ID: O20081209000443 |
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Entity Name | Acare Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851877310 PECOS PAC ID: 4284967191 Enrollment ID: O20190607002438 |
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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. Shadi Ayyas 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 |
Shadi Ayyas, MD 2428 Dakota Lakes Dr, Herndon, VA 20171-2969 Ph: (202) 766-3019 | Shadi Ayyas, MD 44050 Ashburn Shopping Plz Ste 179, Ashburn, VA 20147-7916 Ph: (202) 766-3019 |
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