Dr Michael Roushdy Khalil, MD, FACS is a medicare enrolled "Surgery" physician in Tomah, Wisconsin. He went to University Of Southern California Keck School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Lutheran Charity Association, Dlp Marquette Physician Practices Inc and his current practice location is
505 Gopher Dr, Tomah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 372-2181.
Dr Michael Roushdy Khalil is licensed to practice in Wisconsin (license number 77985) 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 1124080015.
Physician's Profile
| Full Name | Dr Michael Roushdy Khalil |
|---|
| Gender | Male |
|---|
| Speciality | General Surgery |
|---|
| Experience | 29 Years |
|---|
| Location | 505 Gopher Dr, Tomah, Wisconsin |
|---|
| 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 Michael Roushdy Khalil attended and graduated from University Of Southern California Keck School Of Medicine in 1996
NPI Data:
- NPI Number: 1124080015
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688695638
- Enrollment ID: I20160414001494
Medical Identifiers
Medical identifiers for Dr Michael Roushdy Khalil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124080015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | A67078 (California) | Secondary |
| 208600000X | Surgery | MD178526 (Oregon) | Secondary |
| 208600000X | Surgery | 69129 (Tennessee) | Secondary |
| 208600000X | Surgery | 14069 (North Dakota) | Secondary |
| 208600000X | Surgery | 77985 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lutheran Charity Association | 2264341031 | 107 |
| Dlp Marquette Physician Practices Inc | 9931359601 | 161 |
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 Michael Roushdy Khalil allows following entities to bill medicare on his behalf.
| Entity Name | Lutheran Charity Association |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1821044652 PECOS PAC ID: 2264341031 Enrollment ID: O20040128000565 |
|---|
| Entity Name | Lutheran Charity Association |
|---|
| Entity Type | Part A Provider - Critical Access Hospital |
|---|
| Entity Identifiers | NPI Number: 1548256753 PECOS PAC ID: 2264341031 Enrollment ID: O20080616000530 |
|---|
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 Michael Roushdy Khalil 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 Michael Roushdy Khalil, MD, FACS 1216 Via Coronel, Palos Verdes Estates, CA 90274-1992 Ph: (585) 748-2080 | Dr Michael Roushdy Khalil, MD, FACS 505 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181 |
Reviews and Comments