Issa M Fakhouri, MD in Stockton, CA - Medicare Internal Medicine

Issa M Fakhouri, MD is a medicare enrolled "Internal Medicine" physician in Stockton, California. His current practice location is 7373 West Ln, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 476-2000.

Issa M Fakhouri is licensed to practice in California (license number A70359) 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 1043398936.

Contact Information

	Issa M Fakhouri, MD
	7373 West Ln, Stockton, CA 95210-3377
	(209) 476-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Issa M Fakhouri
Gender	Male
Speciality	Internal Medicine
Location	7373 West Ln, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043398936
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7911193636
Enrollment ID: I20101119001196

Medical Identifiers

Medical identifiers for Issa M Fakhouri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043398936	NPI	-	NPPES
00A703590	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A70359 (California)	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. Issa M Fakhouri allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Issa M Fakhouri 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
Issa M Fakhouri, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Issa M Fakhouri, MD 7373 West Ln, Stockton, CA 95210-3377 Ph: (209) 476-2000

Reviews and Comments

Internal Medicine Doctors in Stockton, CA

Jasmine Hundal, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-751-1919
Dr. Navneet Kaur, M.B.B.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-4005 Fax: 209-645-6344
David C Lim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 E Harding Way, Suite D, Stockton, CA 95204 Phone: 209-944-5750
Xing-jian Lu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Kwabena Opoku-mensah Adubofour, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2524 E Main St, Stockton, CA 95205 Phone: 800-249-9497 Fax: 800-249-9497
Dr. Ronald A Kass, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 E March Ln Ste C310, Stockton, CA 95210 Phone: 209-465-5731 Fax: 209-465-0230

Issa M Fakhouri, MD - Medicare Internal Medicine in Stockton, CA