Dr Ehsan Ghetmiri, MD in Fullerton, CA - Medicare Internal Medicine

Dr Ehsan Ghetmiri, MD is a medicare enrolled "Hospitalist" physician in Fullerton, California. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Medical Foundation and his current practice location is 101 E Valencia Mesa Dr, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 992-3969.

Dr Ehsan Ghetmiri is licensed to practice in California (license number A127383) 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 1083908396.

Contact Information

	Dr Ehsan Ghetmiri, MD
	101 E Valencia Mesa Dr, Fullerton, CA 92835-3809
	(714) 992-3969
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ehsan Ghetmiri
Gender	Male
Speciality	Internal Medicine
Experience	19 Years
Location	101 E Valencia Mesa Dr, Fullerton, 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:

Dr Ehsan Ghetmiri graduated from medical school in 2005

NPI Data:

NPI Number: 1083908396
Provider Enumeration Date: 06/03/2011
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5698997401
Enrollment ID: I20141112000015

Medical Identifiers

Medical identifiers for Dr Ehsan Ghetmiri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083908396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A127383 (California)	Secondary
208M00000X	Hospitalist	A127383 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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 Ehsan Ghetmiri allows following entities to bill medicare on his behalf.

Entity Name	Beaver Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Centers For Family Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191

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 Ehsan Ghetmiri 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 Ehsan Ghetmiri, MD 11 Technology Dr, Irvine, CA 92618-2302 Ph: (855) 206-6764	Dr Ehsan Ghetmiri, MD 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 Ph: (714) 992-3969

Reviews and Comments

Hospitalist Doctors in Fullerton, CA

Samuel C Nixon, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 433 W. Bastanchury Rd, Fullerton, CA 92835 Phone: 714-449-4800 Fax: 714-449-4956
Tuan Quoc Trinh, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3000
Kevin Vallabh Balar, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-871-3280
Shivani Kamalesh Patel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835 Phone: 714-626-8650 Fax: 714-626-8654
Bang The Nguyen, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-447-5027
Amir Najafi, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 E Valencia Mesa Dr Ste 206, Fullerton, CA 92835 Phone: 714-446-5050

Dr Ehsan Ghetmiri, MD - Medicare Internal Medicine in Fullerton, CA