Bader Abu Ghalyoun, MD in Stockton, CA - Medicare Cardiovascular Disease (cardiology)

Bader Abu Ghalyoun, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Stockton, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Adventist Health Physicians Network, Lodi Memorial Hospital Association Inc and his current practice location is 1801 E March Ln, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 464-3615.

Bader Abu Ghalyoun is licensed to practice in California (license number C169074) 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 1740492214.

Contact Information

	Bader Abu Ghalyoun, MD
	1801 E March Ln, Stockton, CA 95210-6629
	(209) 464-3615
	Not Available

Map and Direction

Physician's Profile

Full Name	Bader Abu Ghalyoun
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	21 Years
Location	1801 E March Ln, Stockton, California
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:

Bader Abu Ghalyoun graduated from medical school in 2003

NPI Data:

NPI Number: 1740492214
Provider Enumeration Date: 05/04/2007
Last Update Date: 06/25/2020

Medicare PECOS Information:

PECOS PAC ID: 9830284165
Enrollment ID: I20200716003156

Medical Identifiers

Medical identifiers for Bader Abu Ghalyoun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740492214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	24179 (West Virginia)	Secondary
207R00000X	Internal Medicine	24179 (West Virginia)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	C169074 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Lodi Memorial	Lodi, CA	Hospital
Dameron Hospital	Stockton, CA	Hospital
St Joseph's Medical Center Of Stockton	Stockton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health Physicians Network	3274580972	544
Lodi Memorial Hospital Association Inc	7618880717	11

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. Bader Abu Ghalyoun allows following entities to bill medicare on his behalf.

Entity Name	Pacific Heart And Vascular Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649208463 PECOS PAC ID: 1658267190 Enrollment ID: O20040223001067

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

Entity Name	Lodi Memorial Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577

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. Bader Abu Ghalyoun 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
Bader Abu Ghalyoun, MD 1801 E March Ln Ste D400, Stockton, CA 95210-6675 Ph: (209) 464-3615	Bader Abu Ghalyoun, MD 1801 E March Ln, Stockton, CA 95210-6629 Ph: (209) 464-3615

Reviews and Comments

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Bader Abu Ghalyoun, MD - Medicare Cardiovascular Disease (cardiology) in Stockton, CA