Mr Abdelkader Mallouk, MD, OD is a medicare enrolled "Family Medicine" provider in Horseheads, New York. He went to New England College Of Optometry and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Arnot Ogden Medical Center and his current practice location is
100 John Roemmelt Dr Ste 302, Horseheads, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 873-1810.
Mr Abdelkader Mallouk is licensed to practice in New York (license number 277295) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407949621.
Healthcare Provider's Profile
Full Name | Mr Abdelkader Mallouk |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 27 Years |
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Location | 100 John Roemmelt Dr Ste 302, Horseheads, New York |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Abdelkader Mallouk attended and graduated from New England College Of Optometry in 1997
NPI Data:
- NPI Number: 1407949621
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113912395
- Enrollment ID: I20040416001402
Medical Identifiers
Medical identifiers for Mr Abdelkader Mallouk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407949621 | NPI | - | NPPES |
01916898 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPC3141 (Florida) | Secondary |
152W00000X | Optometrist | T005983 (New York) | Secondary |
152W00000X | Optometrist | OE8142 (Pennsylvania) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | 277295 (New York) | Secondary |
207Q00000X | Family Medicine | 277295 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Arnot Ogden Medical Center | 5395798417 | 195 |
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. Mr Abdelkader Mallouk allows following entities to bill medicare on his behalf.
Provider Name | Arnot Ogden Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1083605661 PECOS PAC ID: 5395798417 Enrollment ID: O20061003000664 |
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Provider Name | Arnot Medical Services Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1427326768 PECOS PAC ID: 0840450748 Enrollment ID: O20120330000383 |
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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. Mr Abdelkader Mallouk 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 |
Mr Abdelkader Mallouk, MD, OD 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Mr Abdelkader Mallouk, MD, OD 100 John Roemmelt Dr Ste 302, Horseheads, NY 14845-8304 Ph: (607) 873-1810 |
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