Shareef Jandali, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Trumbull, Connecticut. He went to State University Of Ny Upstate Medical University and graduated in 2005 and has 19 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is
5520 Park Ave, Suite Wp-2-300, Trumbull, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 374-0310.
Shareef Jandali is licensed to practice in Connecticut (license number 049538) 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 1265598130.
Physician's Profile
| Full Name | Shareef Jandali |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 19 Years |
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| Location | 5520 Park Ave, Trumbull, Connecticut |
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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:
- Shareef Jandali attended and graduated from State University Of Ny Upstate Medical University in 2005
NPI Data:
- NPI Number: 1265598130
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 10/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 0840476503
- Enrollment ID: I20110512000867
Medical Identifiers
Medical identifiers for Shareef Jandali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265598130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 049538 (Connecticut) | Primary |
| 208200000X | Plastic Surgery | MT185935 (Pennsylvania) | Secondary |
| 208200000X | Plastic Surgery | MD 049538 (Connecticut) | Secondary |
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. Shareef Jandali allows following entities to bill medicare on his behalf.
| Entity Name | Shareef Jandali Plastic Surgery Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730488982
PECOS PAC ID: 4981880648
Enrollment ID: O20110512000812 |
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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. Shareef Jandali 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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Shareef Jandali, MD
5520 Park Ave, Suite Wp-2-300,
Trumbull, CT 06611-3463
Ph: (203) 374-0310 | Shareef Jandali, MD
5520 Park Ave, Suite Wp-2-300,
Trumbull, CT 06611-3463
Ph: (203) 374-0310 |
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