Nayer B El-ashram, MD - Medicare Internal Medicine in Decatur, TX

Nayer B El-ashram, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Decatur, Texas. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Pulmonary And Critical Care Network Llc and his current practice location is 2301 S Fm 51 Ste 300, Decatur, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 627-1435.

Nayer B El-ashram is licensed to practice in Texas (license number H9071) 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 1114989746.

Contact Information

Nayer B El-ashram, MD
2301 S Fm 51 Ste 300,
Decatur, TX 76234-3864
(940) 627-1435
(940) 627-1453

Map and Direction




Physician's Profile

Full NameNayer B El-ashram
GenderMale
SpecialityInternal Medicine
Experience47 Years
Location2301 S Fm 51 Ste 300, Decatur, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nayer B El-ashram graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1114989746
  • Provider Enumeration Date: 04/06/2006
  • Last Update Date: 11/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971587254
  • Enrollment ID: I20040615000720

Medical Identifiers

Medical identifiers for Nayer B El-ashram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114989746NPI-NPPES
034345104MedicaidTX
034345105MedicaidTX
PENDINGOtherTXBCBSTX
00K19YOtherTXBLUE CROSS/BLUE SHIELD
034345103MedicaidTX
PENDINGMedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease H9071 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pulmonary And Critical Care Network Llc60022236256

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. Nayer B El-ashram allows following entities to bill medicare on his behalf.
Entity NameRegional Employee Assistance Program Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649232984
PECOS PAC ID: 1557260064
Enrollment ID: O20040612000731
Entity NameTexas Allergy & Breathing Centers, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427225010
PECOS PAC ID: 6608922323
Enrollment ID: O20190529000084
Entity NamePulmonary And Critical Care Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023561909
PECOS PAC ID: 6002223625
Enrollment ID: O20210329000045

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. Nayer B El-ashram 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 AddressPractice Location Address
Nayer B El-ashram, MD
400 Hospital Dr Ste 111,
Corsicana, TX 75110-2489

Ph: (903) 641-3815
Nayer B El-ashram, MD
2301 S Fm 51 Ste 300,
Decatur, TX 76234-3864

Ph: (940) 627-1435

Reviews and Comments


Internal Medicine Doctors in Decatur, TX

Dr. Henock G Zabher, M.D.
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Phone: 940-626-2461    Fax: 940-626-2462
Dr. Sammy Joe Horton, M.D.
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Mrs. Amanda Marie Webb, MSN, FNP-C
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Phone: 940-799-3580    
Dr. Curtis James Merritt, D.O.
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Phone: 940-626-2430    Fax: 940-626-2431
Dr. Michelle S Khoo, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1713 S Fm 51 Ste 202, Decatur, TX 76234
Phone: 940-626-0108    Fax: 940-757-0625

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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