Amjed B Jadallah, in Hamtramck, MI - Medicare Nurse Practitioner

Amjed B Jadallah, is a medicare enrolled "Nurse Practitioner - Family" in Hamtramck, Michigan. His current practice location is 3611 Carpenter St, Hamtramck, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 733-8286.

Amjed B Jadallah is licensed to practice in Michigan (license number 4704362677) 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 1518690874.

Contact Information

	Amjed B Jadallah,
	3611 Carpenter St, Hamtramck, MI 48212-2784
	(313) 733-8286
	Not Available

Map and Direction

Provider's Profile

Full Name	Amjed B Jadallah
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3611 Carpenter St, Hamtramck, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518690874
Provider Enumeration Date: 07/05/2022
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5991187171
Enrollment ID: I20220804001382

Medical Identifiers

Medical identifiers for Amjed B Jadallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518690874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704362677 (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. Amjed B Jadallah allows following entities to bill medicare on his behalf.

Entity Name	Procare Partners Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528601952 PECOS PAC ID: 6507298841 Enrollment ID: O20191107001481

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. Amjed B Jadallah 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
Amjed B Jadallah, 5217 Jonathon St, Dearborn, MI 48126-3313 Ph: (313) 918-8893	Amjed B Jadallah, 3611 Carpenter St, Hamtramck, MI 48212-2784 Ph: (313) 733-8286

Reviews and Comments

Nurse Practitioner Nurses in Hamtramck, MI

Susan G Szczesny, APRN,BC,NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2428 Casmere St Apt 1b, Hamtramck, MI 48212 Phone: 313-520-4131
Daphnee Pierre-louis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11447 Joseph Campau St, Hamtramck, MI 48212 Phone: 313-365-1362
Jarida Begum, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9740 Conant St Ste 1, Hamtramck, MI 48212 Phone: 313-556-9900 Fax: 313-556-9911
Stefanee Dziwirski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11410 Charest St, Hamtramck, MI 48212 Phone: 313-891-9473 Fax: 313-892-1750
Raza Syed, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12170 Conant St, Hamtramck, MI 48212 Phone: 313-893-6218
Mrs. Bidoor Mohamed, RN, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2343 Norwalk St, Hamtramck, MI 48212 Phone: 313-445-8638
Dr. Mariam Bassalious, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9021 Joseph Campau St, Hamtramck, MI 48212 Phone: 313-871-1927

Amjed B Jadallah, - Medicare Nurse Practitioner in Hamtramck, MI