Dr Husam S Kaileh, MD is a medicare enrolled "Family Medicine" physician in San Joaquin, California. His current practice location is
21890 W. Colorado Avenue, San Joaquin, California. You can reach out to his office (for appointments etc.) via phone at
(559) 693-2462.
Dr Husam S Kaileh is licensed to practice in California (license number A52444) 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 1700920899.
Physician's Profile
Full Name | Dr Husam S Kaileh |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 21890 W. Colorado Avenue, San Joaquin, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700920899
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 04/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 2365698545
- Enrollment ID: I20130530000633
Medical Identifiers
Medical identifiers for Dr Husam S Kaileh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700920899 | NPI | - | NPPES |
FHC03875F | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A52444 (California) | Primary |
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 Husam S Kaileh 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 Husam S Kaileh, MD Po Box 737, San Joaquin, CA 93660-0737 Ph: (559) 693-2462 | Dr Husam S Kaileh, MD 21890 W. Colorado Avenue, San Joaquin, CA 93660 Ph: (559) 693-2462 |
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