Dr Ghali Elias Ghali, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Shreveport, Louisiana. His current practice location is
2508 Bert Kouns Industrial Loop, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 212-5254.
Dr Ghali Elias Ghali is licensed to practice in Louisiana (license number MD11531R) 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 1417981739.
Healthcare Provider's Profile
| Full Name | Dr Ghali Elias Ghali |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2508 Bert Kouns Industrial Loop, Shreveport, Louisiana |
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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. |
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Medical Education and Training:
- Dr Ghali Elias Ghali attended and graduated from in
NPI Data:
- NPI Number: 1417981739
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 02/02/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ghali Elias Ghali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417981739 | NPI | - | NPPES |
| 1899496 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4998 (Louisiana) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 11531R (Louisiana) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 11531R (Louisiana) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 4998 (Louisiana) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | MD11531R (Louisiana) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 15501 (Texas) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | J8547 (Texas) | Secondary |
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. Dr Ghali Elias Ghali 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 |
|---|
Dr Ghali Elias Ghali, DDS, MD
2508 Bert Kouns Industrial Loop,
Shreveport, LA 71118
Ph: (318) 212-5254 | Dr Ghali Elias Ghali, DDS, MD
2508 Bert Kouns Industrial Loop,
Shreveport, LA 71118
Ph: (318) 212-5254 |
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