Dr Michael Roushdy Khalil, MD, FACS - Medicare General Surgery in Tomah, WI

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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 28 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Gundersen Clinic Ltd, Ut Methodist Physicians Llc, Ut Methodist Physicians Llc 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.

Contact Information

Dr Michael Roushdy Khalil, MD, FACS
505 Gopher Dr,
Tomah, WI 54660-4513
(608) 372-2181
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Roushdy Khalil
GenderMale
SpecialityGeneral Surgery
Experience28 Years
Location505 Gopher Dr, Tomah, Wisconsin
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 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: 10/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688695638
  • Enrollment ID: I20200803000863

Medical Identifiers

Medical identifiers for Dr Michael Roushdy Khalil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124080015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A67078 (California)Secondary
208600000XSurgery MD178526 (Oregon)Secondary
208600000XSurgery 69129 (Tennessee)Secondary
208600000XSurgery 77985 (Wisconsin)Primary
208600000XSurgery 14069 (North Dakota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Healthcare - Olive Branch HospitalOlive branch, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gundersen Clinic Ltd9638082779359
Ut Methodist Physicians Llc276962366971
Ut Methodist Physicians Llc276962366971

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 NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameSouthwest Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831279793
PECOS PAC ID: 3072427772
Enrollment ID: O20031117000839

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 AddressPractice 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


Surgery Doctors in Tomah, WI

Dr. Craig A Haberman, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    
John Warren Robertson Iii, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    

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.