Dr Abdallah Khourdaji, MD in Lodi, CA

Dr Abdallah Khourdaji, MD is a medicare enrolled "Dermatology" physician in Lodi, California. He graduated from medical school in 1973 and has 52 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Golden State Dermatology Associates, Inc. and his current practice location is 801 S Ham Ln, Ste A, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 333-6110.

Dr Abdallah Khourdaji is licensed to practice in California (license number 00A341430) 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 1093799652.

Contact Information

	Dr Abdallah Khourdaji, MD
	801 S Ham Ln, Ste A, Lodi, CA 95242-7501
	(209) 333-6110
	(209) 333-0724

Map and Direction

Physician's Profile

Full Name	Dr Abdallah Khourdaji
Gender	Male
Speciality	Dermatology
Experience	52 Years
Location	801 S Ham Ln, Lodi, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Abdallah Khourdaji graduated from medical school in 1973

NPI Data:

NPI Number: 1093799652
Provider Enumeration Date: 12/06/2005
Last Update Date: 08/11/2010

Medicare PECOS Information:

PECOS PAC ID: 8224071659
Enrollment ID: I20050607000742

Medical Identifiers

Medical identifiers for Dr Abdallah Khourdaji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093799652	NPI	-	NPPES
070001716	Other	CA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	00A341430 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Golden State Dermatology Associates, Inc.	1052418175	93

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. Dr Abdallah Khourdaji allows following entities to bill medicare on his behalf.

Entity Name	Golden State Dermatology Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605

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. Dr Abdallah Khourdaji 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
Dr Abdallah Khourdaji, MD 801 S Ham Ln, Ste A, Lodi, CA 95242-7501 Ph: (209) 333-6110	Dr Abdallah Khourdaji, MD 801 S Ham Ln, Ste A, Lodi, CA 95242-7501 Ph: (209) 333-6110

Dr Abdallah Khourdaji, MD - Medicare Dermatology in Lodi, CA