Ahmed H Aly-abdel-latif, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fraser, Michigan. His current practice location is
15735 Van Ave, Fraser, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 434-6667.
Ahmed H Aly-abdel-latif is licensed to practice in Michigan (license number 4704293356) 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 1619549482.
Provider's Profile
| Full Name | Ahmed H Aly-abdel-latif |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 15735 Van Ave, Fraser, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619549482
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 05/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800264946
- Enrollment ID: I20221122001486
Medical Identifiers
Medical identifiers for Ahmed H Aly-abdel-latif such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619549482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4704293356 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704293356 (Michigan) | 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. Ahmed H Aly-abdel-latif allows following entities to bill medicare on his behalf.
| Entity Name | Henry Ford Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871666479
PECOS PAC ID: 0547178311
Enrollment ID: O20040124000368 |
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| Entity Name | Resource Anesthesiology Associates Of Mi Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568755882
PECOS PAC ID: 4082883053
Enrollment ID: O20110808000715 |
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| Entity Name | Asa Staffing Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114378981
PECOS PAC ID: 3971898644
Enrollment ID: O20160818002713 |
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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. Ahmed H Aly-abdel-latif 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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Ahmed H Aly-abdel-latif, RN
15735 Van Ave,
Fraser, MI 48026-2710
Ph: (313) 434-6667 | Ahmed H Aly-abdel-latif, RN
15735 Van Ave,
Fraser, MI 48026-2710
Ph: (313) 434-6667 |
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