Dr Maged Mahmoud Ghanem, MD - Medicare Internal Medicine in Erie, PA

Dr Maged Mahmoud Ghanem, MD is a medicare enrolled "Internal Medicine" physician in Erie, Pennsylvania. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Plover Inpatient Services Llc and his current practice location is 232 W 25th St, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 452-5980.

Dr Maged Mahmoud Ghanem is licensed to practice in Pennsylvania (license number MD432272) 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 1306854948.

Contact Information

Dr Maged Mahmoud Ghanem, MD
232 W 25th St,
Erie, PA 16544-0002
(814) 452-5980
(824) 452-5039

Map and Direction




Physician's Profile

Full NameDr Maged Mahmoud Ghanem
GenderMale
SpecialityInternal Medicine
Experience29 Years
Location232 W 25th St, Erie, Pennsylvania
Accepts Medicare AssignmentsYes. 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 Maged Mahmoud Ghanem graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1306854948
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 09/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850487232
  • Enrollment ID: I20160307000352

Medical Identifiers

Medical identifiers for Dr Maged Mahmoud Ghanem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306854948NPI-NPPES
001983676MedicaidPA
1983676OtherPAHIGHMARK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD432272 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jersey Shore University Medical CenterNeptune, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Plover Inpatient Services Llc1355561663125

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 Maged Mahmoud Ghanem allows following entities to bill medicare on his behalf.
Entity NameIpc Hospitalist Physicians Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639303159
PECOS PAC ID: 2769533165
Enrollment ID: O20090625000023
Entity NamePlover Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134534688
PECOS PAC ID: 1355561663
Enrollment ID: O20141009001113
Entity NameAzz Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699704809
PECOS PAC ID: 6002132685
Enrollment ID: O20150225001108

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 Maged Mahmoud Ghanem 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
Dr Maged Mahmoud Ghanem, MD
Po Box 644850,
Pittsburgh, PA 15264-4850

Ph: (412) 937-8887
Dr Maged Mahmoud Ghanem, MD
232 W 25th St,
Erie, PA 16544-0002

Ph: (814) 452-5980

Reviews and Comments


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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.