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. |
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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: I20240813003969
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 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. Dr Husam S Kaileh allows following entities to bill medicare on his behalf.
| Entity Name | Valley Health Team, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598821027
PECOS PAC ID: 2365588902
Enrollment ID: O20220425001596 |
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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 |
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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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