Abed Al-mawla Jandali M.d. Pc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Green Island, New York. The current practice location for Abed Al-mawla Jandali M.d. Pc is 13 Arch St, Green Island, New York. For appointments, you can reach them via phone at
(518) 274-4654. The mailing address for Abed Al-mawla Jandali M.d. Pc is 13 Arch St, Green Island, New York and phone number is (518) 274-4654.
Abed Al-mawla Jandali M.d. Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1083950117. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(518) 274-4654.
Primary Care Clinic Profile
| Full Name | Abed Al-mawla Jandali M.d. Pc |
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| Speciality | Clinic/Center |
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| Location | 13 Arch St, Green Island, New York |
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| Authorized Official Name and Position | Abed Al-mawla Jandali Pc (OWNER) |
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| Authorized Official Contact | 5182744654 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Abed Al-mawla Jandali M.d. Pc
13 Arch St
Green Island
NY 12183-1329
Ph: (518) 274-4654 | Abed Al-mawla Jandali M.d. Pc
13 Arch St
Green Island
NY 12183-1329
Ph: (518) 274-4654 |
NPI Details:
| NPI Number | 1083950117 |
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| Provider Enumeration Date | 12/18/2012 |
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| Last Update Date | 05/01/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0749425221 |
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| Medicare Enrollment ID | O20130404000358 |
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Medical Identifiers
Medical identifiers for Abed Al-mawla Jandali M.d. Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083950117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Abed Al-mawla Jandali M.d. Pc acts as a billing entity for following providers:
| Provider Name | Abed A Jandali |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1003918277
PECOS PAC ID: 3375627052
Enrollment ID: I20080220000428 |
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