Diane Marie Elghoul, MD - Medicare Family Medicine in Decatur, MI

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Diane Marie Elghoul, MD is a medicare enrolled "Family Medicine" physician in Decatur, Michigan. Her current practice location is 319 W Delaware St, Decatur, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 423-7028.

Diane Marie Elghoul is licensed to practice in Michigan (license number 4301513205) 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 1407437080.

Contact Information

Diane Marie Elghoul, MD
319 W Delaware St,
Decatur, MI 49045-1106
(269) 423-7028
Not Available

Map and Direction




Physician's Profile

Full NameDiane Marie Elghoul
GenderFemale
SpecialityFamily Medicine
Location319 W Delaware St, Decatur, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407437080
  • Provider Enumeration Date: 04/15/2021
  • Last Update Date: 11/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345775136
  • Enrollment ID: I20241203002872

Medical Identifiers

Medical identifiers for Diane Marie Elghoul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407437080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301513205 (Michigan)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. Diane Marie Elghoul allows following entities to bill medicare on her behalf.
Entity NameBronson South Haven Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174749170
PECOS PAC ID: 6204724834
Enrollment ID: O20040305001005
Entity NameBronson Lakeview Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235131137
PECOS PAC ID: 9032008495
Enrollment ID: O20051027001022

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. Diane Marie Elghoul 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
Diane Marie Elghoul, MD
601 John Street, Box 42,
Kalamazoo, MI 49007

Ph: () -		Diane Marie Elghoul, MD
319 W Delaware St,
Decatur, MI 49045-1106

Ph: (269) 423-7028

Reviews and Comments


Family Medicine Doctors in Decatur, MI

David Joseph Wendling, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 319 W Delaware St, Decatur, MI 49045
Phone: 269-423-7028    Fax: 269-423-8282
Dr. Lester Burkow, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 319 W Delaware St, Decatur, MI 49045
Phone: 269-423-7028    Fax: 269-423-8282
Song Yol Yu, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 319 W Delaware St, Decatur, MI 49045
Phone: 269-423-7028    Fax: 269-423-8282

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.