Wisam Al-mutawalli, MD - Family Medicine in Camillus, NY

Wisam Al-mutawalli, MD is a Family Medicine physician based in Camillus, New York. Wisam Al-mutawalli is licensed to practice in New York (license number 332191) and his current practice location is 208 Township Blvd, Ste 100, Camillus, New York. He can be reached at his office (for appointments etc.) via phone at (315) 551-6000.

NPI number for Wisam Al-mutawalli is 1164005526 and his current mailing address is 208 Township Blvd, Ste 100, Camillus, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164005526.

Contact Information

Wisam Al-mutawalli, MD
208 Township Blvd, Ste 100,
Camillus, NY 13031
(315) 551-6000
Not Available

Map and Direction




Physician's Profile

Full NameWisam Al-mutawalli
GenderMale
SpecialityFamily Medicine
Location208 Township Blvd, Camillus, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164005526
  • Provider Enumeration Date: 05/04/2021
  • Last Update Date: 10/23/2024

Medical Identifiers

Medical identifiers for Wisam Al-mutawalli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164005526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 332191 (New York)Primary

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. Wisam Al-mutawalli is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wisam Al-mutawalli, MD
208 Township Blvd, Ste 100,
Camillus, NY 13031

Ph: (315) 551-6000
Wisam Al-mutawalli, MD
208 Township Blvd, Ste 100,
Camillus, NY 13031

Ph: (315) 551-6000

Reviews and Comments


Family Medicine Doctors in Camillus, NY

Thomas J Laclair, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 436 Hinsdale Rd, Camillus, NY 13031
Phone: 315-488-0996    Fax: 315-488-1955
Dennis David Daly, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5700 W Genesee St, Camillus, NY 13031
Phone: 315-487-1573    Fax: 315-487-2418
James Francis Lawless, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 436 Hinsdale Rd, Camillus, NY 13031
Phone: 315-488-0996    Fax: 315-488-1955
David Thurber Page, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 436 Hinsdale Rd, Camillus, NY 13031
Phone: 315-488-0996    Fax: 315-488-1955
Dr. David Thomas Hope, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5415 W Genesee St, Suite 301, Camillus, NY 13031
Phone: 315-487-8109    Fax: 315-487-5680
Henry William Schoeneck, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5700 W Genesee St, Camillus, NY 13031
Phone: 315-487-1573    Fax: 315-487-2418

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.