Javed Abdullah, MD in Olive Branch, MS - Medicare Interventional Cardiology

Javed Abdullah, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Olive Branch, Mississippi. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Specialty Physician Group Llc, Specialty Physician Group Llc and his current practice location is 4250 Bethel Rd, 5th Floor, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (901) 763-0200.

Javed Abdullah is licensed to practice in Mississippi (license number 23973) 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 1184801367.

Contact Information

	Javed Abdullah, MD
	4250 Bethel Rd, 5th Floor, Olive Branch, MS 38654-8737
	(901) 763-0200
	(901) 761-4002

Physician's Profile

Full Name	Javed Abdullah
Gender	Male
Speciality	Interventional Cardiology
Experience	25 Years
Location	4250 Bethel Rd, Olive Branch, Mississippi
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:

Javed Abdullah graduated from medical school in 1999

NPI Data:

NPI Number: 1184801367
Provider Enumeration Date: 01/30/2008
Last Update Date: 10/29/2015

Medicare PECOS Information:

PECOS PAC ID: 7810040169
Enrollment ID: I20130725000914

Medical Identifiers

Medical identifiers for Javed Abdullah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184801367	NPI	-	NPPES
6041886	Other	TN	BCBS
06926726	Medicaid	MS
Q002944	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	50265 (Tennessee)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	23973 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Healthcare Memphis Hospitals	Memphis, TN	Hospital
Methodist Healthcare - Olive Branch Hospital	Olive branch, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Specialty Physician Group Llc	9537291323	90
Specialty Physician Group Llc	9537291323	90

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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. Javed Abdullah allows following entities to bill medicare on his behalf.

Entity Name	Specialty Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174842181 PECOS PAC ID: 9537291323 Enrollment ID: O20100714000297

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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. Javed Abdullah 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
Javed Abdullah, MD Po Box 1000, Dept # 960, Memphis, TN 38148-0001 Ph: (901) 763-0200	Javed Abdullah, MD 4250 Bethel Rd, 5th Floor, Olive Branch, MS 38654-8737 Ph: (901) 763-0200

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Internal Medicine Doctors in Olive Branch, MS

Douglas Thaggard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220
Dr. Shailesh Mansukh Patel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220
Jawwad Yusuf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd Fl 5, Olive Branch, MS 38654 Phone: 901-763-0200 Fax: 901-761-4002
Dakshin Gangadharamurthy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220
Wendy Michelle Ballenger, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7148 Kerr Street Place, Suite 110, Olive Branch, MS 38654 Phone: 662-222-6724 Fax: 901-350-5024
James Riddell Lewis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220

Javed Abdullah, MD - Medicare Interventional Cardiology in Olive Branch, MS

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Internal Medicine Doctors in Olive Branch, MS