Athar Ghannam, MD in Jackson, MI - Medicare Family Medicine

Athar Ghannam, MD is a medicare enrolled "Family Medicine" physician in Jackson, Michigan. Her current practice location is 3235 E Michigan Ave Ste 100, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 205-3280.

Athar Ghannam is licensed to practice in Michigan (license number 4301509386) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295351500.

Contact Information

	Athar Ghannam, MD
	3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971
	(517) 205-3280
	(517) 205-1181

Map and Direction

Physician's Profile

Full Name	Athar Ghannam
Gender	Female
Speciality	Family Medicine
Location	3235 E Michigan Ave Ste 100, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295351500
Provider Enumeration Date: 06/23/2020
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9931521416
Enrollment ID: I20230914003402

Medical Identifiers

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

Identifier	Type	State	Issuer
1295351500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301509386 (Michigan)	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. Athar Ghannam allows following entities to bill medicare on her behalf.

Entity Name	W.a. Foote Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691

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. Athar 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
Athar Ghannam, MD 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 Ph: (517) 205-3280	Athar Ghannam, MD 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 Ph: (517) 205-3280

Reviews and Comments

Family Medicine Doctors in Jackson, MI

Rubana Khan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 810-931-5407
Erin Nicole Murfey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Hinckley Blvd, Ste 100, Jackson, MI 49203 Phone: 517-784-0141 Fax: 517-787-3462
Maria Soto, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 W North St, Jackson, MI 49202 Phone: 517-782-2555 Fax: 517-782-3399
Mohamed El Fakiy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 816-394-6643
Dr. Robert N Israel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Seymour Ave, Jackson, MI 49202 Phone: 517-782-5700 Fax: 517-782-3141
Ray H King, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Hinckley Blvd, Suite 100, Jackson, MI 49203 Phone: 517-784-0588 Fax: 517-784-3866
William Bradley Bivens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2585 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-784-0032 Fax: 517-784-8959

Athar Ghannam, MD - Medicare Family Medicine in Jackson, MI