Mr Samiollah Gholam, MD - Medicare Internal Medicine in Bellingham, WA

Mr Samiollah Gholam, MD is a medicare enrolled "Internal Medicine" physician in Bellingham, Washington. His current practice location is 4545 Cordata Pkwy Ste 2a, Bellingham, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 738-2200.

Mr Samiollah Gholam is licensed to practice in Washington (license number MD60836207) 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 1326457904.

Contact Information

Mr Samiollah Gholam, MD
4545 Cordata Pkwy Ste 2a,
Bellingham, WA 98226
(360) 738-2200
(360) 752-5682

Map and Direction




Physician's Profile

Full NameMr Samiollah Gholam
GenderMale
SpecialityInternal Medicine
Location4545 Cordata Pkwy Ste 2a, Bellingham, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326457904
  • Provider Enumeration Date: 08/07/2014
  • Last Update Date: 07/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4082971007
  • Enrollment ID: I20171129003702

Medical Identifiers

Medical identifiers for Mr Samiollah Gholam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326457904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A145760 (California)Secondary
207R00000XInternal Medicine MD60836207 (Washington)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. Mr Samiollah Gholam allows following entities to bill medicare on his behalf.
Entity NameKern County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376623538
PECOS PAC ID: 4688964521
Enrollment ID: O20160915002690

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. Mr Samiollah Gholam 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
Mr Samiollah Gholam, MD
1115 Se 164th Ave Dept 358,
Vancouver, WA 98683-8004

Ph: (360) 729-1462
Mr Samiollah Gholam, MD
4545 Cordata Pkwy Ste 2a,
Bellingham, WA 98226

Ph: (360) 738-2200

Reviews and Comments


Internal Medicine Doctors in Bellingham, WA

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Phone: 360-788-8222    Fax: 360-788-7759
Dr. Sukhjit Singh Shergill,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4545 Cordata Pkwy, Suite 2b, Bellingham, WA 98226
Phone: 360-738-2200    Fax: 360-752-5683

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.