Dr Haysam Ghannoum, MD in Tulsa, OK

Dr Haysam Ghannoum, MD is a medicare enrolled "Internal Medicine" physician in Tulsa, Oklahoma. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Greater Baltimore Medical Center Inc and his current practice location is 1145 S Utica Ave, Ste 1105, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 579-5724.

Dr Haysam Ghannoum is licensed to practice in Oklahoma (license number 21933) 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 1205883220.

Contact Information

	Dr Haysam Ghannoum, MD
	1145 S Utica Ave, Ste 1105, Tulsa, OK 74104-4000
	(918) 579-5724
	(918) 560-5791

Map and Direction

Physician's Profile

Full Name	Dr Haysam Ghannoum
Gender	Male
Speciality	Hospitalist
Experience	25 Years
Location	1145 S Utica Ave, Tulsa, Oklahoma
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 Haysam Ghannoum graduated from medical school in 1999

NPI Data:

NPI Number: 1205883220
Provider Enumeration Date: 05/27/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 3870482086
Enrollment ID: I20091008000077

Medical Identifiers

Medical identifiers for Dr Haysam Ghannoum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205883220	NPI	-	NPPES
P00096057	Other	OK	RAILROAD MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	21933 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Greater Baltimore Medical Center	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Greater Baltimore Medical Center Inc	1759276975	309

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 Haysam Ghannoum allows following entities to bill medicare on his behalf.

Entity Name	Sheppard Pratt Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518990712 PECOS PAC ID: 8224937610 Enrollment ID: O20040105000737

Entity Name	Greater Baltimore Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852

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 Haysam Ghannoum 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 Haysam Ghannoum, MD 1611 S Utica Ave, # 414, Tulsa, OK 74104-4909 Ph: (918) 579-5724	Dr Haysam Ghannoum, MD 1145 S Utica Ave, Ste 1105, Tulsa, OK 74104-4000 Ph: (918) 579-5724

Reviews and Comments

Internal Medicine Doctors in Tulsa, OK

Sarah Anne Shaw-dressler, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578
Julia Margaret Kwon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539
Peter Madden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400
Thao Tran, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400
Robert Peter Aran, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365
Robert Dean Okada, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455
Dr. Charles Wade Taylor, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200 Fax: 918-505-3253

Dr Haysam Ghannoum, MD - Medicare Hospitalist in Tulsa, OK