Simon Peter Abi-saleh, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bridgeport, Connecticut. His current practice location is
267 Grant Street, Med Ed Podium 4, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 384-4442.
Simon Peter Abi-saleh is licensed to practice in * (Not Available) (license number ) 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 1891315529.
Physician's Profile
Full Name | Simon Peter Abi-saleh |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 267 Grant Street, Med Ed Podium 4, Bridgeport, Connecticut |
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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: 1891315529
- Provider Enumeration Date: 04/22/2020
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769837897
- Enrollment ID: I20231010002761
Medical Identifiers
Medical identifiers for Simon Peter Abi-saleh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891315529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 75727 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Simon Peter Abi-saleh allows following entities to bill medicare on his behalf.
Entity Name | University Of Connecticut Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
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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. Simon Peter Abi-saleh 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 |
Simon Peter Abi-saleh, 267 Grant Street, Med Ed Podium 4, Bridgeport, CT 06610-0120 Ph: (203) 384-4442 | Simon Peter Abi-saleh, 267 Grant Street, Med Ed Podium 4, Bridgeport, CT 06610-0120 Ph: (203) 384-4442 |
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