Dr Mahmoud Abu Ghanam, MD is a medicare enrolled "Anesthesiology" physician in Ferndale, New York. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Anesthesiology. His current practice location is
111 Sullivan Ave, Ferndale, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 292-0078.
Dr Mahmoud Abu Ghanam is licensed to practice in New York (license number 001755) 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 1912952540.
Physician's Profile
Full Name | Dr Mahmoud Abu Ghanam |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 32 Years |
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Location | 111 Sullivan Ave, Ferndale, New York |
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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 Mahmoud Abu Ghanam graduated from medical school in 1992
NPI Data:
- NPI Number: 1912952540
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 11/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769401892
- Enrollment ID: I20051117000244
Medical Identifiers
Medical identifiers for Dr Mahmoud Abu Ghanam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912952540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 001755 (New York) | Secondary |
207L00000X | Anesthesiology | 001755 (New York) | Primary |
Medical Facilities Affiliation
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 Mahmoud Abu Ghanam allows following entities to bill medicare on his behalf.
Entity Name | Hussein Omar, Physician, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659329050 PECOS PAC ID: 9830118025 Enrollment ID: O20051116000965 |
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Entity Name | Catskill Anesthesia Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063456168 PECOS PAC ID: 1254345374 Enrollment ID: O20060127000555 |
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Entity Name | Mahmoud Abu-ghanam Physician Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669181780 PECOS PAC ID: 7719357151 Enrollment ID: O20221230000443 |
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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 Mahmoud Abu Ghanam 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 Mahmoud Abu Ghanam, MD Po Box 190, Ferndale, NY 12734-0558 Ph: (845) 292-0078 | Dr Mahmoud Abu Ghanam, MD 111 Sullivan Ave, Ferndale, NY 12734-4315 Ph: (845) 292-0078 |
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