Dr Mohammad Ghali, MD - Medicare Pediatrics in Sylvania, OH

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Dr Mohammad Ghali, MD is a medicare enrolled "Pediatrics" physician in Sylvania, Ohio. His current practice location is 5700 Monroe Street, Wuite 301, Sylvania, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 291-2121.

Dr Mohammad Ghali is licensed to practice in Michigan (license number 4301057489) 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 1023014610.

Contact Information

Dr Mohammad Ghali, MD
5700 Monroe Street, Wuite 301,
Sylvania, OH 43560-2737
(419) 291-2121
(419) 479-6017

Map and Direction




Physician's Profile

Full NameDr Mohammad Ghali
GenderMale
SpecialityPediatrics
Location5700 Monroe Street, Sylvania, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023014610
  • Provider Enumeration Date: 06/28/2005
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931209343
  • Enrollment ID: I20070714000143

Medical Identifiers

Medical identifiers for Dr Mohammad Ghali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023014610NPI-NPPES
3479730-10MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301057489 (Michigan)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 Mohammad Ghali allows following entities to bill medicare on his behalf.
Entity NameCenter For Family Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780784439
PECOS PAC ID: 4587574421
Enrollment ID: O20040219000916
Entity NameBell Physician Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578992491
PECOS PAC ID: 4981833654
Enrollment ID: O20140130000127

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 Mohammad Ghali 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 Mohammad Ghali, MD
505 N Jackson St,
Jackson, MI 49201-1266

Ph: (517) 748-5500		Dr Mohammad Ghali, MD
5700 Monroe Street, Wuite 301,
Sylvania, OH 43560-2737

Ph: (419) 291-2121

Reviews and Comments


Pediatrics Doctors in Sylvania, OH

Dr. Rama Sood, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5300 Harroun Rd, Sylvania, OH 43560
Phone: 419-882-2962    Fax: 419-885-2874
Brenda M Hartley, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Monroe St Unit 301, Sylvania, OH 43560
Phone: 419-291-2121    Fax: 419-479-6017

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.