Alexander David Ghannam, MD in Toledo, OH - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Alexander David Ghannam, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Toledo, Ohio. His current practice location is 2109 Hughes Dr # 720, Toledo, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 291-2077.

Alexander David Ghannam is licensed to practice in Ohio (license number 35.149681) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043715501.

Contact Information

	Alexander David Ghannam, MD
	2109 Hughes Dr # 720, Toledo, OH 43606-3858
	(419) 291-2077
	(419) 291-2122

Map and Direction

Physician's Profile

Full Name	Alexander David Ghannam
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	2109 Hughes Dr # 720, Toledo, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043715501
Provider Enumeration Date: 03/27/2018
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9234489139
Enrollment ID: I20240328003349

Medical Identifiers

Medical identifiers for Alexander David Ghannam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043715501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	TRN26700 (Florida)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	35.149681 (Ohio)	Primary

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. Alexander David Ghannam allows following entities to bill medicare on his behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

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. Alexander David Ghannam 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
Alexander David Ghannam, MD 100 Madison Ave, Toledo, OH 43604-1516 Ph: () -	Alexander David Ghannam, MD 2109 Hughes Dr # 720, Toledo, OH 43606-3858 Ph: (419) 291-2077

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Toledo, OH

Dr. Ramon Zialcita Sevilla, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2000 Regency Ct, Suite 200, Toledo, OH 43623 Phone: 419-720-7590 Fax: 419-720-7592
Daniel J Dibardino, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2222 Cherry St Ste 1250, Toledo, OH 43608 Phone: 419-251-3180 Fax: 419-251-3849
Dr. Christopher Carl Phillips, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2222 Cherry St, Mob 2 Suite 1250, Toledo, OH 43608 Phone: 419-251-3180 Fax: 419-251-3849
Dr. Stanley Peter Kokocki, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2222 Cherry St Ste 1250, Toledo, OH 43608 Phone: 419-251-3180 Fax: 419-251-3849
Dr. Donald G Crescenzo, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr, Ste 720, Toledo, OH 43606 Phone: 419-291-2077 Fax: 419-291-2122
Dr. Karl J. Borsody, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2222 Cherry St Ste 1250, Toledo, OH 43608 Phone: 419-251-3180 Fax: 419-251-3849
Dr. Matthew Goodwin, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Graduate Medical Education, Ms 1050, Toledo, OH 43614 Phone: 419-383-4244 Fax: 419-383-3108

Alexander David Ghannam, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Toledo, OH