Dr Melaku T Birhanie, MD - Medicare Internal Medicine in Oceanside, CA

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Dr Melaku T Birhanie, MD is a medicare enrolled "Hospitalist" physician in Oceanside, California. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospitalist Medicine Physicians Of California Inc, Scripps Health and his current practice location is 4002 Vista Way, Oceanside, California. You can reach out to his office (for appointments etc.) via phone at (760) 966-2499.

Dr Melaku T Birhanie is licensed to practice in California (license number A122966) 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 1134411879.

Contact Information

Dr Melaku T Birhanie, MD
4002 Vista Way,
Oceanside, CA 92056-4506
(760) 966-2499
Not Available

Map and Direction




Physician's Profile

Full NameDr Melaku T Birhanie
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location4002 Vista Way, Oceanside, California
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 Melaku T Birhanie graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1134411879
  • Provider Enumeration Date: 05/13/2011
  • Last Update Date: 01/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4981846243
  • Enrollment ID: I20130815000667

Medical Identifiers

Medical identifiers for Dr Melaku T Birhanie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134411879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist A122966 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tri-city Medical CenterOceanside, CAHospital
Scripps Mercy HospitalSan diego, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospitalist Medicine Physicians Of California Inc842606202792
Scripps Health92340338531388

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 Melaku T Birhanie allows following entities to bill medicare on his behalf.
Entity NameSharp Rees-stealy Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285616177
PECOS PAC ID: 8628972759
Enrollment ID: O20031120000996
Entity NameScripps Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275899072
PECOS PAC ID: 9234033853
Enrollment ID: O20031124000822
Entity NameEmergency And Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameKansal Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043510183
PECOS PAC ID: 6406089739
Enrollment ID: O20140512001295
Entity NameTemecula Valley Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265874135
PECOS PAC ID: 8224252630
Enrollment ID: O20140604002038
Entity NameInpatient Specialists Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915

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 Melaku T Birhanie 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 Melaku T Birhanie, MD
4002 Vista Way,
Oceanside, CA 92056-4506

Ph: (760) 966-2499		Dr Melaku T Birhanie, MD
4002 Vista Way,
Oceanside, CA 92056-4506

Ph: (760) 966-2499

Reviews and Comments


Hospitalist Doctors in Oceanside, CA


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.