Alexander Ghasem, is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Panorama City, California. His current practice location is
14860 Roscoe Blvd Ste 200, Panorama City, California. You can reach out to his office (for appointments etc.) via phone at
(424) 201-5454.
Alexander Ghasem is licensed to practice in California (license number A169674) 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 1811315641.
Physician's Profile
| Full Name | Alexander Ghasem |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
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| Location | 14860 Roscoe Blvd Ste 200, Panorama City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811315641
- Provider Enumeration Date: 03/29/2014
- Last Update Date: 04/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204164809
- Enrollment ID: I20200831002411
Medical Identifiers
Medical identifiers for Alexander Ghasem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811315641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 82428 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | A169674 (California) | 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. Alexander Ghasem allows following entities to bill medicare on his behalf.
| Entity Name | Innovative Medical Solutions Inc A Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972624955
PECOS PAC ID: 5294783080
Enrollment ID: O20050107000871 |
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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. Alexander Ghasem 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 |
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Alexander Ghasem,
8447 Wilshire Blvd Ste 202,
Beverly Hills, CA 90211-3207
Ph: (424) 201-5454 | Alexander Ghasem,
14860 Roscoe Blvd Ste 200,
Panorama City, CA 91402-4683
Ph: (424) 201-5454 |
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