Jonathan Rudolph Abaya Ghazaleh, MD in Vacaville, CA

Jonathan Rudolph Abaya Ghazaleh, MD is a medicare enrolled "Internal Medicine" physician in Vacaville, California. His current practice location is 1 Quality Dr, Vacaville, California. You can reach out to his office (for appointments etc.) via phone at (707) 624-4000.

Jonathan Rudolph Abaya Ghazaleh is licensed to practice in California (license number A195675) 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 1093395535.

Contact Information

	Jonathan Rudolph Abaya Ghazaleh, MD
	1 Quality Dr, Vacaville, CA 95688-9494
	(707) 624-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Rudolph Abaya Ghazaleh
Gender	Male
Speciality	Internal Medicine
Location	1 Quality Dr, Vacaville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093395535
Provider Enumeration Date: 04/09/2021
Last Update Date: 10/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8527591072
Enrollment ID: I20241023001432

Medical Identifiers

Medical identifiers for Jonathan Rudolph Abaya Ghazaleh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093395535	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A195675 (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. Jonathan Rudolph Abaya Ghazaleh 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. Jonathan Rudolph Abaya Ghazaleh 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
Jonathan Rudolph Abaya Ghazaleh, MD 1 Quality Dr, Vacaville, CA 95688-9494 Ph: () -	Jonathan Rudolph Abaya Ghazaleh, MD 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 624-4000

Reviews and Comments

Internal Medicine Doctors in Vacaville, CA

Dr. Anne An-ru Chen, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 770 Mason St, Vacaville, CA 95688 Phone: 707-427-4900 Fax: 707-454-5911
Dr. Jason Rohrer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 4000, Vacaville, CA 95696 Phone: 707-451-0182
Liyan Zhang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-453-5000
Marissa C. Neis-gimenez, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-453-5000
David M Woodhouse, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 770 Mason St, Vacaville, CA 95688 Phone: 707-454-5800 Fax: 707-454-5911
Richard M Tan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Peabody Rd., Vacaville, CA 95696 Phone: 707-451-0182
Bethlehem Haile, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 California Dr, Vacaville, CA 95687 Phone: 707-453-7007 Fax: 707-453-7009

Jonathan Rudolph Abaya Ghazaleh, MD - Medicare Internal Medicine in Vacaville, CA