Mohammed Jallad, FNP - Medicare Nurse Practitioner in Toledo, OH

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Mohammed Jallad, FNP is a medicare enrolled "Nurse Practitioner - Family" in Toledo, Ohio. His current practice location is 4124 S Terrace View St Apt 7, Toledo, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 276-7018.

Mohammed Jallad is licensed to practice in Ohio (license number APRN.CNP.09579) 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 1255528725.

Contact Information

Mohammed Jallad, FNP
4124 S Terrace View St Apt 7,
Toledo, OH 43607-1071
(419) 276-7018
Not Available

Map and Direction




Provider's Profile

Full NameMohammed Jallad
GenderMale
SpecialityNurse Practitioner - Family
Location4124 S Terrace View St Apt 7, Toledo, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255528725
  • Provider Enumeration Date: 09/28/2007
  • Last Update Date: 07/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133203813
  • Enrollment ID: I20080220000395

Medical Identifiers

Medical identifiers for Mohammed Jallad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255528725NPI-NPPES
1255528725MedicaidMI
0051000MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.09579 (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. Mohammed Jallad allows following entities to bill medicare on his behalf.
Entity NamePromedica Central Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226
Entity NameMercy Health Physicians-north Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609000769
PECOS PAC ID: 2668522400
Enrollment ID: O20090616000750
Entity NameGreater Toledo Urgent Cares Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982993010
PECOS PAC ID: 3577749811
Enrollment ID: O20110520000365
Entity NameOhio Emergency Professionals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982983425
PECOS PAC ID: 0547433328
Enrollment ID: O20111024000785
Entity NameAdvanced Care Emergency Medicine Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467817304
PECOS PAC ID: 6901100791
Enrollment ID: O20160216000639

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. Mohammed 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 AddressPractice Location Address
Mohammed Jallad, FNP
5210 Olde Ridge Rd,
Sylvania, OH 43560-1883

Ph: (419) 291-3627		Mohammed Jallad, FNP
4124 S Terrace View St Apt 7,
Toledo, OH 43607-1071

Ph: (419) 276-7018

Reviews and Comments


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Phone: 419-251-4360    Fax: 419-251-5117
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Natalie Rae Marienthal, MSN, APRN, FNP-C
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Phone: 419-291-4101    
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Phone: 419-255-9585    

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.