Dr Jeffrey Ghassemi, MD, MPH is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in San Francisco, California. His current practice location is
521 Parnassus Ave, Room C-450, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at
(415) 476-0648.
Dr Jeffrey Ghassemi is licensed to practice in * (Not Available) (license number ) 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 1972746253.
Physician's Profile
| Full Name | Dr Jeffrey Ghassemi |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 521 Parnassus Ave, San Francisco, 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: 1972746253
- Provider Enumeration Date: 04/15/2009
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 5496993958
- Enrollment ID: I20130523000303
Medical Identifiers
Medical identifiers for Dr Jeffrey Ghassemi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972746253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | A114223 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Jeffrey Ghassemi allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Jeffrey Ghassemi 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 Jeffrey Ghassemi, MD, MPH
521 Parnassus Ave, Room C-450,
San Francisco, CA 94143-2206
Ph: (415) 476-0648 | Dr Jeffrey Ghassemi, MD, MPH
521 Parnassus Ave, Room C-450,
San Francisco, CA 94143-2206
Ph: (415) 476-0648 |
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