Dr Issa Pour Ghaz, MD in Carbondale, IL - Medicare Internal Medicine

Dr Issa Pour Ghaz, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Carbondale, Illinois. His current practice location is 409 W Oak St, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 529-4455.

Dr Issa Pour Ghaz is licensed to practice in Illinois (license number 036163430) 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 1265962450.

Contact Information

	Dr Issa Pour Ghaz, MD
	409 W Oak St, Carbondale, IL 62901-1464
	(618) 529-4455
	(618) 351-1287

Map and Direction

Physician's Profile

Full Name	Dr Issa Pour Ghaz
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	409 W Oak St, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265962450
Provider Enumeration Date: 06/19/2017
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 2264702281
Enrollment ID: I20230612001382

Medical Identifiers

Medical identifiers for Dr Issa Pour Ghaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265962450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	036163430 (Illinois)	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. Dr Issa Pour Ghaz allows following entities to bill medicare on his behalf.

Entity Name	Harrisburg Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396878658 PECOS PAC ID: 9638083884 Enrollment ID: O20031113000179

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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 Issa Pour Ghaz 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 Issa Pour Ghaz, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Dr Issa Pour Ghaz, MD 409 W Oak St, Carbondale, IL 62901-1464 Ph: (618) 529-4455

Reviews and Comments

Internal Medicine Doctors in Carbondale, IL

Stuart Kent Lankford, PA-C Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-2955 Fax: 618-457-7823
Dr. Anil N Parikh, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449
Nathaniel Clark, P.A. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287
Dr. Is-haq Malik, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Arslan Mirza, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287
Dr. Motaz R Wraikat, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Vadzim Chyzhyk, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287

Dr Issa Pour Ghaz, MD - Medicare Internal Medicine in Carbondale, IL