Mr Ghulam Ghous, MD is a medicare enrolled "Hospitalist" physician in Jefferson City, Missouri. His current practice location is
1125 Madison St, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 632-5000.
Mr Ghulam Ghous is licensed to practice in Missouri (license number 2019024548) 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 1003260787.
Physician's Profile
Full Name | Mr Ghulam Ghous |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1125 Madison St, Jefferson City, Missouri |
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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: 1003260787
- Provider Enumeration Date: 04/19/2016
- Last Update Date: 04/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810223641
- Enrollment ID: I20190731001734
Medical Identifiers
Medical identifiers for Mr Ghulam Ghous such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003260787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RH0003X | Internal Medicine - Hematology & Oncology | 2019024548 (Missouri) | Secondary |
208M00000X | Hospitalist | 2019024548 (Missouri) | Primary |
207R00000X | Internal Medicine | 2019024548 (Missouri) | Secondary |
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. Mr Ghulam Ghous allows following entities to bill medicare on his behalf.
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
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Entity Name | Boone Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
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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. Mr Ghulam Ghous 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 |
Mr Ghulam Ghous, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Mr Ghulam Ghous, MD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
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