Sara Mariam Ghannam, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Cleveland, Ohio. Her current practice location is
9500 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 444-2200.
Sara Mariam Ghannam is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134652449.
Physician's Profile
Full Name | Sara Mariam Ghannam |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 9500 Euclid Ave, Cleveland, Ohio |
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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: 1134652449
- Provider Enumeration Date: 04/05/2017
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951678507
- Enrollment ID: I20220825002279
Medical Identifiers
Medical identifiers for Sara Mariam Ghannam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134652449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 25MA11461800 (New Jersey) | 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. Sara Mariam Ghannam allows following entities to bill medicare on her behalf.
Entity Name | Clinical Health Care Associates Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447260435 PECOS PAC ID: 0749180198 Enrollment ID: O20040421001473 |
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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. Sara Mariam Ghannam 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 |
Sara Mariam Ghannam, MD 1701 E 12th St, Apt 14q, Cleveland, OH 44114-3207 Ph: (734) 846-3651 | Sara Mariam Ghannam, MD 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: (216) 444-2200 |
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