Sisay Akalu, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Corning, New York. His current practice location is
130 Center Way, Corning, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 936-9971.
Sisay Akalu is licensed to practice in New York (license number 296054) 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 1457776395.
Physician's Profile
Full Name | Sisay Akalu |
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Gender | Male |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 130 Center Way, Corning, New York |
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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: 1457776395
- Provider Enumeration Date: 03/01/2014
- Last Update Date: 03/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193019370
- Enrollment ID: I20181228001476
Medical Identifiers
Medical identifiers for Sisay Akalu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457776395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | C1-0008356 (Delaware) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | C1-0008356 (Delaware) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 296054 (New York) | 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. Sisay Akalu allows following entities to bill medicare on his behalf.
Entity Name | Guthrie Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
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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. Sisay Akalu 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 |
Sisay Akalu, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Sisay Akalu, MD 130 Center Way, Corning, NY 14830 Ph: (607) 936-9971 |
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