Emily Marie Ghanem, NP is a medicare enrolled "Nurse Practitioner" in Wales, Wisconsin. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wheaton Franciscan Medical Group Inc and her current practice location is
144 E Summit Ave, Wales, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 968-6161.
Emily Marie Ghanem is licensed to practice in Wisconsin (license number 8328) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437630761.
Provider's Profile
| Full Name | Emily Marie Ghanem |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 7 Years |
|---|
| Location | 144 E Summit Ave, Wales, Wisconsin |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Emily Marie Ghanem graduated from nursing school in 2017
NPI Data:
- NPI Number: 1437630761
- Provider Enumeration Date: 08/24/2018
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214288315
- Enrollment ID: I20181001000396
Medical Identifiers
Medical identifiers for Emily Marie Ghanem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437630761 | NPI | - | NPPES |
| 100081427 | Medicaid | WI | |
| 8328-33 | Other | WI | ADVANCED PRACTICE NURSE PRESCRIBER (APNP) LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 8328-33 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 8328 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
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. Emily Marie Ghanem allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421 |
|---|
| Entity Name | Aurora Quick Care Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609820729
PECOS PAC ID: 7719996792
Enrollment ID: O20060419000702 |
|---|
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. Emily Marie Ghanem 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 |
|---|
Emily Marie Ghanem, NP
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Emily Marie Ghanem, NP
144 E Summit Ave,
Wales, WI 53183-9546
Ph: (262) 968-6161 |
Reviews and Comments