Mr Abdelkader Mallouk, MD, OD is a medicare enrolled "Family Medicine" provider in Horseheads, New York. 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 | |
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Experience | 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 in
NPI Data:
- NPI Number: 1407949621
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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