Dalal Mahmoud, is a medicare enrolled "Physician Assistant" in Ottawa Hills, Ohio. Her current practice location is
4045 Hillandale Rd Apt C, Ottawa Hills, Ohio. You can reach out to her office (for appointments etc.) via phone at
(567) 202-3508.
Dalal Mahmoud is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770273690.
Provider's Profile
Full Name | Dalal Mahmoud |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 4045 Hillandale Rd Apt C, Ottawa Hills, Ohio |
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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: 1770273690
- Provider Enumeration Date: 05/12/2023
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062854987
- Enrollment ID: I20240523002454
Medical Identifiers
Medical identifiers for Dalal Mahmoud such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770273690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Dalal Mahmoud 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 |
Dalal Mahmoud, 4045 Hillandale Rd Apt C, Ottawa Hills, OH 43606-2586 Ph: (567) 202-3508 | Dalal Mahmoud, 4045 Hillandale Rd Apt C, Ottawa Hills, OH 43606-2586 Ph: (567) 202-3508 |
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