Ahmad S Jallad, in Sylvania, OH - Medicare Nurse Practitioner

Ahmad S Jallad, is a medicare enrolled "Nurse Practitioner - Family" in Sylvania, Ohio. His current practice location is 5651 Elliott Dr., Sylvania, Ohio. You can reach out to his office (for appointments etc.) via phone at (718) 300-0318.

Ahmad S Jallad is licensed to practice in Ohio (license number 023083) 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 1710466057.

Contact Information

	Ahmad S Jallad,
	5651 Elliott Dr., Sylvania, OH 43560-4356
	(718) 300-0318
	Not Available

Map and Direction

Provider's Profile

Full Name	Ahmad S Jallad
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5651 Elliott Dr., Sylvania, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710466057
Provider Enumeration Date: 08/08/2018
Last Update Date: 08/08/2018

Medicare PECOS Information:

PECOS PAC ID: 8921330416
Enrollment ID: I20191104000108

Medical Identifiers

Medical identifiers for Ahmad S Jallad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710466057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	023083 (Ohio)	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. Ahmad S Jallad allows following entities to bill medicare on his behalf.

Entity Name	Hcr Manorcare Medical Services Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20041210000189

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044

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. Ahmad S Jallad 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
Ahmad S Jallad, 5651 Elliott Dr, Sylvania, OH 43560-2064 Ph: (718) 300-0318	Ahmad S Jallad, 5651 Elliott Dr., Sylvania, OH 43560-4356 Ph: (718) 300-0318

Reviews and Comments

Nurse Practitioner Nurses in Sylvania, OH

Amy Cramer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St, Suitie 111, Sylvania, OH 43560 Phone: 567-585-0005 Fax: 567-585-0007
Reba Das, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5351 Mitchaw Rd, Sylvania, OH 43560 Phone: 419-824-6699
Kristi Lorenc, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6400 Monroe St, Sylvania, OH 43560 Phone: 844-436-4987 Fax: 866-390-9167
Andrea Tabbert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Harroun Rd Ste 201, Sylvania, OH 43560 Phone: 419-885-5563 Fax: 419-885-5439
Rhonda Shryock, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Harroun Rd, Sylvania, OH 43560 Phone: 419-824-1444 Fax: 419-882-8309
Elisha Stroder, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Harroun Rd Ste 201, Sylvania, OH 43560 Phone: 419-885-5563 Fax: 419-885-5439
Mrs. Gretchen Lee Hoover, RN MSN FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4121 N King Rd, Kingston Care Center, Sylvania, OH 43528 Phone: 419-517-8200 Fax: 419-517-8208

Ahmad S Jallad, - Medicare Nurse Practitioner in Sylvania, OH