Israa Oday Ghanim Al-gburi, MD in Pontiac, MI

Israa Oday Ghanim Al-gburi, MD is a medicare enrolled "Internal Medicine" physician in Pontiac, Michigan. Her current practice location is 44405 Woodward Ave, H-23, St. Joseph Mercy Oakland, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (206) 612-6626.

Israa Oday Ghanim Al-gburi is licensed to practice in Michigan (license number IN PROCESS) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144757949.

Contact Information

	Israa Oday Ghanim Al-gburi, MD
	44405 Woodward Ave, H-23, St. Joseph Mercy Oakland, Pontiac, MI 48341
	(206) 612-6626
	Not Available

Map and Direction

Physician's Profile

Full Name	Israa Oday Ghanim Al-gburi
Gender	Female
Speciality	Internal Medicine
Location	44405 Woodward Ave, H-23, Pontiac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144757949
Provider Enumeration Date: 05/11/2017
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6800168063
Enrollment ID: I20230829000571

Medical Identifiers

Medical identifiers for Israa Oday Ghanim Al-gburi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144757949	NPI	-	NPPES
264910428	Other	IN	MEDICARE PTAN
300078980	Medicaid	IN
183380159	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01090931A (Indiana)	Secondary
207R00000X	Internal Medicine	IN PROCESS (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. Israa Oday Ghanim Al-gburi allows following entities to bill medicare on her behalf.

Entity Name	University Medical Diagnostic Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510

Entity Name	Johnson Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346248986 PECOS PAC ID: 8527972595 Enrollment ID: O20040316000585

Entity Name	Indiana University Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20040407000695

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Israa Oday Ghanim Al-gburi 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
Israa Oday Ghanim Al-gburi, MD 4045 Linkwood Drive, Apt # 724, Houston, TX 77025 Ph: (206) 612-6626	Israa Oday Ghanim Al-gburi, MD 44405 Woodward Ave, H-23, St. Joseph Mercy Oakland, Pontiac, MI 48341 Ph: (206) 612-6626

Reviews and Comments

Internal Medicine Doctors in Pontiac, MI

Essa Hanna Hattar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392
Judie R. Goodman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Iha Hematology Oncology Oakland, 44405 Woodward Avenue, Suite 202, Pontiac, MI 48341 Phone: 248-858-2270 Fax: 248-335-6171
Dr. Kalyana S Ramamurthi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suie 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982
Dr. Ravinder Kamal Singala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000
Humberto Diaz Del Castillo Guzman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 947-500-7744
Dr. Fahd Al-saghir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suite 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982
Dr. Matthew Lee Edwards, D.O, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000

Israa Oday Ghanim Al-gburi, MD - Medicare Internal Medicine in Pontiac, MI